Modesta Douglas

NPI #1962281741 in Lewisburg, Ohio

Provider Information

NPI Number
1962281741
Entity Type
Individual
Name
Modesta Douglas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Sep 21, 2023
Last Updated
Dec 18, 2025

Practice Location

Address
208 E SOUTH WATER ST
State
Ohio
ZIP Code
45338-8093
Phone
(937) 361-2178

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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