Individual
FELICIA RENEE FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4607 BELCOURT DR, DAYTON, OH 45417-6103
(937) 267-4238
Mailing address
4607 BELCOURT DR, DAYTON, OH 45417-6103
(937) 267-4238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
145333
OH
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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