Individual
ANDERIKA RALYN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 CHESTNUT RIDGE RD, WEST UNION, OH 45693-9584
(937) 544-5581
(740) 353-1662
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.183062.MEDS-IV
OH
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
04/25/2023
Last updated
05/03/2023
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