Timothy Shane Freeland LPN

NPI 1033404447 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1033404447
Gender Male
Enumeration Date 06/14/2011
Last Updated 06/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1929 GAYHART DR
XENIA OH, 45385-4824, US
Phone (937) 352-6465
Fax
Business Location
1929 GAYHART DR
XENIA OH, 45385-4824, US
Phone (937) 352-6465
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN130160-M-IV
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According to our database, Mr. Timothy Shane Freeland LPN NPI is 1033404447, taxonomy code is 164W00000X and license number is PN130160-M-IV, license state is located at Ohio. Timothy Shane Freeland LPN physically located at 1929 Gayhart Dr, Xenia OH, 45385-4824. NPI Number Timothy Shane Freeland LPN has the Individual type.

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1033404447 NPI number is provided on an as is basis without warranty of any kind. 1033404447 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Shane Freeland LPN are for informational purposes only.