Antwan Lavee Jeffries STNA

NPI 1457669012 - Nurse's Aide - 376K00000X

NPI Details
NPI 1457669012
Gender Male
Enumeration Date 09/16/2010
Last Updated 09/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
616 GAWIL AVE
TOLEDO OH, 43609-1116, US
Phone (419) 787-0139
Fax
Business Location
616 GAWIL AVE
TOLEDO OH, 43609-1116, US
Phone (419) 787-0139
Fax
Toxanomy
Taxonomy Code 376K00000X
License State Ohio
License Number 401111130710
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According to our database, Mr. Antwan Lavee Jeffries STNA NPI is 1457669012, taxonomy code is 376K00000X and license number is 401111130710, license state is located at Ohio. Antwan Lavee Jeffries STNA physically located at 616 Gawil Ave, Toledo OH, 43609-1116. NPI Number Antwan Lavee Jeffries STNA has the Individual type.

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1457669012 NPI number is provided on an as is basis without warranty of any kind. 1457669012 is maintained by the National Plan & Provider Enumeration System. The contents of Antwan Lavee Jeffries STNA are for informational purposes only.