Individual
DEBRA JANE WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
921 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3464
(937) 461-1376
Mailing address
921 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3464
(937) 461-1376
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN050666M
OH
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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