Ida G Vickers, LPN

NPI #1205136728 in Macedonia, Ohio

Provider Information

NPI Number
1205136728
Entity Type
Individual
Name
Ida G Vickers, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 1, 2010
Last Updated
Nov 1, 2010

Practice Location

Address
817 MILLSTREAM RUN
State
Ohio
ZIP Code
44056-1564
Phone
(216) 533-3592

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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