Individual
ALYCIA RATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E WALNUT ST, BOTKINS, OH 45306-8009
(937) 638-2070
Mailing address
114 E WALNUT ST, BOTKINS, OH 45306-8009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
405628
OH
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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