Individual
EILEEN M. TROMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8230 HAVENS RD, BLACKLICK, OH 43004-8630
(614) 855-8460
Mailing address
8230 HAVENS RD, BLACKLICK, OH 43004-8630
(614) 855-8460
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.074957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167784
—
OH
Enumeration date
02/27/2007
Last updated
07/09/2007
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