Individual
LEAH E COY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
6620 TERRE HAUTE RD, URBANA, OH 43078-9111
(937) 605-0787
Mailing address
6620 TERRE HAUTE RD, URBANA, OH 43078-9111
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400542191006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712069
—
OH
Enumeration date
04/07/2007
Last updated
07/08/2007
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