Individual
LISA MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MENDOTA ST, MANSFIELD, OH 44903-2421
(419) 774-0742
Mailing address
120 MENDOTA ST, MANSFIELD, OH 44903-2421
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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