Individual
DAKOTAH R FETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5338 OLD STATE RD, WEST FARMINGTON, OH 44491-8743
(440) 563-1586
Mailing address
PO BOX 165, WEST FARMINGTON, OH 44491-0165
(405) 631-5864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.155586.MEDS-IV
OH
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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