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Individual

MRS. ALICIA MAYE NAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
20773 FROSTYVILLE RD, CALDWELL, OH 43724-9635
(740) 732-2619
Mailing address
20773 FROSTYVILLE RD, CALDWELL, OH 43724-9635
(740) 732-2619

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN106763
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2214624
OH
Enumeration date
04/23/2008
Last updated
04/23/2008
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