Individual
MRS. FREIDA JO CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 W 13TH ST, WELLSTON, OH 45692-9213
(740) 384-7223
Mailing address
271 W 13TH ST, WELLSTON, OH 45692-9213
(740) 384-7223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
115338
OH
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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