CLETUS PAYNE

TOLEDO, OH
NPI1487101879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.019586)
Enumeration Date2016-09-02
Last Update Date2016-09-02
Business Address
-- CLETUS PAYNE CNP
4405 N. HOLLAND SYLVANIA RD.
TOLEDO, OH 43623
Phone number: 419-517-0146
Mailing Address
-- CLETUS PAYNE CNP
PO BOX 164
LUCKEY, OH 43443
Phone number: 419-309-1970