Individual
MISS ESTEE LAUDER HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2438 HOLLYWOOD AVE, TOLEDO, OH 43620-1040
(419) 699-2816
Mailing address
2438 HOLLYWOOD AVE, TOLEDO, OH 43620-1040
(419) 699-2816
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401331441211
OH
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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