NPI 1194424721

Madison Cofer

Practitioner Supports Brokerage Agency Delaware, OH

Practice location

Address: 40 Rowland Ave, Delaware, OH 43015-2313
Phone: (614) 551-0950
Mailing address: 6852 Cedar Brook Gln, New Albany, OH 43054-9713

Registered specialties (2)

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X Licence VA065702 (OH)

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Registry record

NPI: 1194424721
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2023
Record last updated: 2 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.