Tara Dawn Summerville, LPN
NPI #1376763334 in Crooksville, Ohio
Provider Information
- NPI Number
- 1376763334
- Entity Type
- Individual
- Name
- Tara Dawn Summerville, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 20, 2007
Practice Location
- Address
- 116 MCKEEVER ST
- City
- Crooksville
- State
- Ohio
- ZIP Code
- 43731-1144
- Phone
- (740) 982-3054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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