Individual
DEIDRA HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7679 MOUNT HOOD, HUBER HEIGHTS, OH 45424-6922
(937) 718-6855
Mailing address
7679 MOUNT HOOD, HUBER HEIGHTS, OH 45424-6922
(937) 718-6855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 111103-MEDS
OH
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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