Individual
IVANNA S EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAPLE AVE, ZANESVILLE, OH 43701-1716
(614) 257-5760
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5760
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099341
OH
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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