Individual
MS. PHYLLIS SUE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T, STNA
Contact information
Practice address
1137 BAY CIRCLE ST, LIMA, OH 45801-2411
(419) 230-1694
Mailing address
1137 BAY CIRCLE, LIMA, OH 45801
(419) 230-1694
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
33 018370
OH
376K00000X
Nurse's Aide
401227960411
OH
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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