MS. TINA THEAKER, LPN

Licensed Practical Nurse

Active Individual
NPI: 1184864480

Practice Address

19880 KNOX LAKE RD
Fredericktown, OH 43019

Phone: (740) 694-1761

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes PN095964 (OH)

Frequently Asked Questions

NPI 1184864480 is the National Provider Identifier for MS. TINA THEAKER, LPN, a Licensed Practical Nurse provider located in Fredericktown, OH. This NPI was enumerated on February 26, 2009.
MS. TINA THEAKER, LPN practices at 19880 KNOX LAKE RD, Fredericktown, OH 43019.

Quick Facts

NPI
1184864480
Type
Individual
Enumerated
Feb 26, 2009
Last Updated
Feb 26, 2009

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