Individual
MISS CAROL RUTH SCHWADERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
621 COLUMBUS SANDUSKY RD S, MARION, OH 43302-8910
(740) 389-1098
Mailing address
621 COLUMBUS SANDUSKY RD S, MARION, OH 43302-8910
(740) 389-1098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN104790
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683896
—
OH
Enumeration date
11/01/2006
Last updated
07/09/2007
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