Individual
ALTIE JO MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
877 STATE ROUTE 257 S, OSTRANDER, OH 43061-9715
(740) 362-0643
Mailing address
877 STATE ROUTE 257 S, OSTRANDER, OH 43061-9715
(740) 362-0643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 115651
OH
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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