Individual
LAURA KLOSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
284 ESSEX PL, PATASKALA, OH 43062-7561
(614) 975-8053
Mailing address
284 ESSEX PL, PATASKALA, OH 43062-7561
(614) 975-8053
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
21159964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200399
—
OH
Enumeration date
05/01/2007
Last updated
02/11/2009
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