MRS. Autumn Susan Trace, LPN

NPI #1316084346 in Jackson, Ohio

Provider Information

NPI Number
1316084346
Entity Type
Individual
Name
MRS. Autumn Susan Trace, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 31, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
710 JACKSON HILL RD
State
Ohio
ZIP Code
45640-9301
Phone
(740) 286-0212

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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