Individual
ANNIE RUTH HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
533 BRIGHTON AVE, TOLEDO, OH 43609-2931
(419) 389-1901
Mailing address
533 BRIGHTON AVE, TOLEDO, OH 43609-2931
(419) 389-1901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
077366
OH
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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