Individual
JAN BAISDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 KINGSTON AVE, TOLEDO, OH 43605-2917
(419) 671-7600
Mailing address
800 KINGSTON AVE, TOLEDO, OH 43605-2917
(419) 671-7600
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN208270
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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