TARA L PUCKETT

ASHLAND, OH
NPI1174959274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  154092)
Enumeration Date2013-09-20
Last Update Date2013-09-20
Business Address
-- TARA L PUCKETT L.P.N.
120 W 10TH ST
ASHLAND, OH 44805-1739
Phone number: 419-651-0570
Mailing Address
-- TARA L PUCKETT L.P.N.
120 W 10TH ST
ASHLAND, OH 44805-1739
Phone number: 419-651-0570