Individual
ETHEL FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2583 CHERRY ST, TOLEDO, OH 43608-2373
(419) 917-6811
Mailing address
2583 CHERRY ST, TOLEDO, OH 43608-2373
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
RQ906857
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166202
—
OH
Enumeration date
01/15/2017
Last updated
01/15/2017
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