Individual
ALLISON RENEE BORCICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
607 W 44TH ST, ASHTABULA, OH 44004-6811
(440) 994-4528
Mailing address
607 W 44TH ST, ASHTABULA, OH 44004-6811
(440) 994-4528
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
146277-M-IV
OH
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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