Individual
MISS DANA RAE TESDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
727 DANBURY RD, CINCINNATI, OH 45240-3103
(513) 824-9585
Mailing address
727 DANBURY RD, CINCINNATI, OH 45240-3103
(513) 824-9585
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
131601
OH
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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