Susan Berniece Tully
NPI #1528749801 in Lucasville, Ohio
Provider Information
- NPI Number
- 1528749801
- Entity Type
- Individual
- Name
- Susan Berniece Tully
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Jul 28, 2023
- Last Updated
- Jul 28, 2023
Practice Location
- Address
- 93 LEE ST
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-8750
- Phone
- (740) 820-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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