Madison Lake

NPI #1871362848 in Ashtabula, Ohio

Provider Information

NPI Number
1871362848
Entity Type
Individual
Name
Madison Lake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Jan 1, 2024
Last Updated
Jan 1, 2024

Practice Location

Address
2201 S RIDGE RD E
State
Ohio
ZIP Code
44004-4458
Phone
(330) 703-1819

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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