Individual
TALOR LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
843 PROSPECT MOUNT VERNON RD W, PROSPECT, OH 43342-9742
(740) 341-9952
Mailing address
843 PROSPECT MOUNT VERNON RD W, PROSPECT, OH 43342-9742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401584501113
OH
Other
Enumeration date
04/11/2015
Last updated
04/11/2015
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