MS. Tina Ann Theaker, LPN
NPI #1184864480 in Fredericktown, Ohio
Provider Information
- NPI Number
- 1184864480
- Entity Type
- Individual
- Name
- MS. Tina Ann Theaker, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 26, 2009
- Last Updated
- Feb 26, 2009
Practice Location
- Address
- 19880 KNOX LAKE RD
- City
- Fredericktown
- State
- Ohio
- ZIP Code
- 43019-9669
- Phone
- (740) 694-1761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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