Individual
TIKEITHA COURTNEY HARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5713 HORRELL RD, TROTWOOD, OH 45426-2140
(937) 479-2395
Mailing address
5713 HORRELL RD, TROTWOOD, OH 45426-2140
(937) 479-2395
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
PN145892-M-IV
OH
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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