Individual
DIAKA MUTEBA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1948 PORTAGE PATH, SPRINGFIELD, OH 45506-3334
(937) 450-2259
Mailing address
1948 PORTAGE PATH, SPRINGFIELD, OH 45506-3334
(937) 450-2259
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.146045-M-IV
OH
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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