Vicki M Engram LPN

NPI 1790074193 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1790074193
Gender Female
Enumeration Date 04/06/2011
Last Updated 04/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2596 CHAMBERLAIN RD
FAIRLAWN OH, 44333-4143, US
Phone (330) 786-7772
Fax (330) 548-3822
Business Location
2596 CHAMBERLAIN RD
FAIRLAWN OH, 44333-4143, US
Phone (330) 786-7772
Fax (330) 548-3822
Toxanomy
Taxonomy Code 164X00000X
License State Ohio
License Number PN-142097
Remove 1790074193 NPI Number
 

According to our database, Ms. Vicki M Engram LPN NPI is 1790074193, taxonomy code is 164X00000X and license number is PN-142097, license state is located at Ohio. Vicki M Engram LPN physically located at 2596 Chamberlain Rd, Fairlawn OH, 44333-4143. NPI Number Vicki M Engram LPN has the Individual type.

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1790074193 NPI number is provided on an as is basis without warranty of any kind. 1790074193 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki M Engram LPN are for informational purposes only.