Individual
KIMBERLY FAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 N LOCKWOOD AVE # 2, TOLEDO, OH 43612-1745
(812) 870-7527
Mailing address
4118 N LOCKWOOD AVE APT 2, TOLEDO, OH 43612-1745
(812) 870-7527
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
321472850824
OH
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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