Individual
DONNA ANN THOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4074 HAMILTON RD, MEDINA, OH 44256-9086
(419) 651-1264
Mailing address
2092 TARRAGON DR, WEST SALEM, OH 44287-9195
(419) 651-1264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
126110
OH
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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