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Individual

ALICIA LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1018 RALSTON AVE STE 102, DEFIANCE, OH 43512-5313
(419) 782-2272
(419) 785-4066
Mailing address
1018 RALSTON AVE STE 102, DEFIANCE, OH 43512-5313
(419) 782-2272
(419) 785-4066

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4525
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156020
OH
01
H373230
MEDICARE PTAN
OH
Enumeration date
04/07/2015
Last updated
06/05/2023
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