Individual
JACLYN D STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
222 WATERVLIET AVE, DAYTON, OH 45420-2455
(937) 672-1351
Mailing address
222 WATERVLIET AVE, DAYTON, OH 45420-2455
(937) 672-1351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142341
OH
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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