Terrace Leigh Grove

NPI #1932617826 in Coshocton, Ohio

Provider Information

NPI Number
1932617826
Entity Type
Individual
Name
Terrace Leigh Grove
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 14, 2018
Last Updated
Jan 14, 2018

Practice Location

Address
54913 COUNTY ROAD 123
State
Ohio
ZIP Code
43812-9587
Phone
(740) 202-2495

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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