Robert William Tackett, LPN

NPI #1336021617 in Marietta, Ohio

Provider Information

NPI Number
1336021617
Entity Type
Individual
Name
Robert William Tackett, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jul 25, 2025
Last Updated
Jul 25, 2025

Practice Location

Address
112 HANSON DR
State
Ohio
ZIP Code
45750-9414
Phone
(657) 487-8325

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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