Individual
CARLA SUE TIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
722-740 SOUTH MAIN ST, BOWLING GREEN, OH 43402
(419) 354-3911
Mailing address
13235 SUMNER ST, WESTON, OH 43569-9647
(419) 601-8964
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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