Individual
ALETTA MICHELLE COOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 SNIDER CT, MASON, OH 45040-1348
(513) 600-8555
Mailing address
111 SNIDER CT, MASON, OH 45040-1348
(513) 600-8555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-100745
OH
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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