Individual
GRADERIAH LA'TIFAH BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 DANUBE DR, APT 204, FAIRFIELD, OH 45014-6192
(513) 226-7590
Mailing address
111 DANUBE DR, APT 204, FAIRFIELD, OH 45014-6192
(513) 226-7590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140420
OH
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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