Individual
MISS AMBER MAY TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
573 HERITAGE SQ, JEFFERSON, OH 44047-1207
(440) 344-1333
Mailing address
573 HERITAGE SQ, JEFFERSON, OH 44047-1207
(440) 344-1333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
131332
OH
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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