Individual
BOBBI J CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
203 S BUTLER ST, BALTIC, OH 43804-9072
(330) 897-6950
Mailing address
203 S BUTLER ST, BALTIC, OH 43804-9072
(330) 897-6950
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401020131209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100503
—
OH
Enumeration date
08/11/2011
Last updated
08/11/2011
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