Individual
OLIVIA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N MAIN ST, NEW LEXINGTON, OH 43764-1264
(740) 342-1991
Mailing address
221 N MAIN ST, NEW LEXINGTON, OH 43764-1264
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
XXXXXXXXXX
OH
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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