Individual
LETICIA D DAUTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 W MARKET ST, TIFFIN, OH 44883-2609
(419) 455-8160
Mailing address
8000 N TOWNSHIP ROAD 63, RISINGSUN, OH 43457-9509
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
APRN.CNP.0039146
OH
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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