Individual
CARLA KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
482 COUNTY ROAD 620, POLK, OH 44866-9711
(419) 606-0006
Mailing address
482 COUNTY ROAD 620, POLK, OH 44866-9711
(419) 606-0006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN459694
OH
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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