Tannis Yatta Richardson LPN

NPI 1023131331 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1023131331
Gender Female
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1518 VANCOUVER DR
DAYTON OH, 45406-4748, US
Phone (937) 276-5546
Fax
Business Location
1518 VANCOUVER DR
DAYTON OH, 45406-4748, US
Phone (937) 276-5546
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN 114958
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According to our database, Ms. Tannis Yatta Richardson LPN NPI is 1023131331, taxonomy code is 164W00000X and license number is PN 114958, license state is located at Ohio. Tannis Yatta Richardson LPN physically located at 1518 Vancouver Dr, Dayton OH, 45406-4748. NPI Number Tannis Yatta Richardson LPN has the Individual type.

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1023131331 NPI number is provided on an as is basis without warranty of any kind. 1023131331 is maintained by the National Plan & Provider Enumeration System. The contents of Tannis Yatta Richardson LPN are for informational purposes only.