Individual
GINA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
53 W MAIN ST, XENIA, OH 45385-2979
(937) 971-2350
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
186005
OH
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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