MS. Theresa Maria Detomaso, LPN
NPI #1164756649 in Fort Recovery, Ohio
Provider Information
- NPI Number
- 1164756649
- Entity Type
- Individual
- Name
- MS. Theresa Maria Detomaso, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 30, 2009
- Last Updated
- Sep 30, 2009
Practice Location
- Address
- 806 BLUE JACKET DR
- Address 2
- APT. B
- City
- Fort Recovery
- State
- Ohio
- ZIP Code
- 45846-0645
- Phone
- (419) 953-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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