Individual
ALLYSON RENEE DEKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1054 ROSLYN AVE NE, MASSILLON, OH 44646-4713
(330) 475-6059
Mailing address
1054 ROSLYN AVE NE, MASSILLON, OH 44646-4713
(330) 475-6059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
146456
OH
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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