Individual
MRS. NACHAEL MARIE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3226 DOLORES AVE, TOLEDO, OH 43607-2724
(419) 578-0452
Mailing address
3226 DOLORES AVE, TOLEDO, OH 43607-2724
(419) 779-4694
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
377746511098
OH
Other
Enumeration date
12/08/2009
Last updated
01/03/2013
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