Individual
MS. VICKI M ENGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2596 CHAMBERLAIN RD, FAIRLAWN, OH 44333-4143
(330) 786-7772
(330) 548-3822
Mailing address
2596 CHAMBERLAIN RD, FAIRLAWN, OH 44333-4143
(330) 786-7772
(330) 548-3822
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN-142097
OH
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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