Individual
MRS. TERESA ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., L.S.N.
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
(513) 695-2961
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
(513) 695-2961
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN223624
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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