MRS. Tracey Elaine Logan, LPN

NPI #1073870267 in Wakeman, Ohio

Provider Information

NPI Number
1073870267
Entity Type
Individual
Name
MRS. Tracey Elaine Logan, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 12, 2012
Last Updated
Apr 12, 2012

Practice Location

Address
4466 SEMINARY ST
State
Ohio
ZIP Code
44889-9208
Phone
(567) 351-6317

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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