Individual
TAMMY A KLINEFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3120 W MARKET ST, WARREN, OH 44485-3069
(330) 898-6992
Mailing address
320 HIGH ST NE, WARREN, OH 44481-1222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
LPN.087901
OH
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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