Individual
MRS. ASHLEY ADAIR WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3877 ROAD I, LEIPSIC, OH 45856-9709
(419) 615-5364
Mailing address
3877 ROAD I, LEIPSIC, OH 45856-9709
(419) 615-5364
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 138595-M-IV
OH
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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