Individual
DIANE FRALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 W POSSUM RD, SPRINGFIELD, OH 45506-3631
(937) 408-0293
Mailing address
74 W POSSUM RD, SPRINGFIELD, OH 45506-3631
(937) 408-0293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.150916
OH
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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