Individual
MRS. DONNA MARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
704 JEFFERSON AVE, ORRVILLE, OH 44667-1815
(330) 201-2021
Mailing address
704 JEFFERSON AVE, ORRVILLE, OH 44667-1815
(330) 201-2021
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN301641
OH
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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