Individual
MRS. EMILY JEANNE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
973 MARCIA DR, TRENTON, OH 45067-1859
(513) 907-9222
Mailing address
973 MARCIA DR, TRENTON, OH 45067-1859
(513) 907-9222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.126896-M-IV
OH
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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