Individual
DONNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4142 MILNER RD, NEWARK, OH 43055-9347
(740) 403-7705
(740) 366-7799
Mailing address
4142 MILNER RD, NEWARK, OH 43055-9347
(740) 403-7705
(740) 366-7799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
069012
OH
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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