Individual
LACEY GOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 PINE VALLEY LN APT 101, TOLEDO, OH 43615-7778
(419) 779-8056
Mailing address
716 PINE VALLEY LN APT 101, TOLEDO, OH 43615-7778
(419) 779-8056
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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