MS. Katrina Tackett
NPI #1922766583 in Lucasville, Ohio
Provider Information
- NPI Number
- 1922766583
- Entity Type
- Individual
- Name
- MS. Katrina Tackett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Dec 1, 2021
- Last Updated
- Dec 1, 2021
Practice Location
- Address
- 637 A MOHAWK DR
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-8985
- Phone
- (740) 250-6699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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