MISS Tina Gayle Etayem, LPN
NPI #1013263896 in Springfield, Ohio
Provider Information
- NPI Number
- 1013263896
- Entity Type
- Individual
- Name
- MISS Tina Gayle Etayem, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 30, 2012
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- 1736 HILLSIDE AVE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45503-4508
- Phone
- (937) 831-3874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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