Individual
ALICIA R EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1050 GREENBRIER RD, SEAMAN, OH 45679-9793
(937) 217-3996
Mailing address
1050 GREENBRIER RD, SEAMAN, OH 45679-9793
(937) 217-3996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN140003
OH
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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