Individual
MRS. HOLLIS ANN TATASEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12435 LESLIE RD, LISBON, OH 44432-9574
(330) 227-9792
Mailing address
1576 W MAIN ST, EAST PALESTINE, OH 44413
(330) 426-4130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.084412
OH
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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