Most Relevant Information
Provider Data
| NPI Number: | 1003504291 |
| Provider Name: | MEGAN HOMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2023 |
| Last Updated: | 06/20/2023 |
Provider Practice Location
45 ST LAWRENCE DR
TIFFIN
OH
448838310
Practice Location Phone/Fax
| Phone: | 4194557000 |
| Fax: |
Provider Mailing Location
6085 S STATE ROUTE 67
TIFFIN
OH
448839736
Provider Mailing Phone/Fax
| Phone: | 4199377864 |
| Fax: |