Individual
NATHANIEL JOSEPH PUCHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
ERIE INDUSTRIAL PARK BLDG 360, PORT CLINTON, OH 43452-9412
(419) 635-4462
Mailing address
ERIE INDUSTRIAL PARK BLDG 360, PORT CLINTON, OH 43452-9412
(419) 635-4462
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1573733
MI
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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