Individual
IVADEAN HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
566 BUTLER RD N, NEW LONDON, OH 44851-9002
(419) 929-0746
Mailing address
566 BUTLER RD N, NEW LONDON, OH 44851-9002
(419) 929-0746
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN072417
OH
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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