Individual
ALICIA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
495 QUAIL VALLEY CT, WORTHINGTON, OH 43085-5828
(614) 802-9110
Mailing address
495 QUAIL VALLEY CT, WORTHINGTON, OH 43085-5828
(614) 802-9110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156155
OH
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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