Individual
MRS. ANTONIA MARIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
144 W PARKWOOD DR, DAYTON, OH 45405-3446
(937) 278-4315
Mailing address
144 W PARKWOOD DR, DAYTON, OH 45405-3446
(937) 278-4315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN108166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2610946
INDEPENDENT PROVIDER
OH
Enumeration date
12/11/2007
Last updated
12/11/2007
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