Individual
MR. JAMES JOHN DETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1703 N MEMORIAL DR, LANCASTER, OH 43130-1634
(740) 773-1141
Mailing address
17273 OH-104, CHILLICOTHE, OH 45601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140209.MEDS-IV
OH
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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