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Amber Rose McCullough

Community Health Worker in Toledo, OH. Individual provider (NPI-1).

NPI number1245064641
StatusActive
Last updated in NPPESAug 28, 2024

Details

NPI
1245064641
Entity type
Individual (NPI-1)
Name
Amber Rose McCullough
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 28, 2024
Certification date
Aug 28, 2024
Last updated
Aug 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1219 Jefferson Ave
Toledo, OH 43604-5836

Phone 567-289-2274

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

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