TABATHA M HACKWORTH

COAL GROVE, OH
NPI1275309650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.183717.MEDS-IV)
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
TABATHA M HACKWORTH
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638-2924
Phone number: 740-354-7702
Mailing Address
TABATHA M HACKWORTH
901 WASHINGTON ST
PORTSMOUTH, OH 45662-3944
Phone number: 740-354-7702
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