Traci Carol Wilson, LPN

NPI #1609365287 in Tiffin, Ohio

Provider Information

NPI Number
1609365287
Entity Type
Individual
Name
Traci Carol Wilson, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 9, 2018
Last Updated
May 9, 2018

Practice Location

Address
65 SAINT FRANCIS AVE
City
Tiffin
State
Ohio
ZIP Code
44883-3413
Phone
(567) 220-7018

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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