Individual
MR. MARTY THYRONE STEIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1627 EARLHAM DR, DAYTON, OH 45406-4612
(937) 276-5594
Mailing address
1627 EARLHAM DR, DAYTON, OH 45406-4612
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN120298-IV
OH
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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