TANA M POWELL

SYLVANIA, OH
NPI1831332675
Entity TypeOrganization
Authorized ContactTANA MARIE POWELL
Nurse
419-290-4741
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: OH  PN.134008-IV)
Enumeration Date2009-04-09
Last Update Date2009-04-09
Business Address
TANA M POWELL
4741 WICKFORD DR W
SYLVANIA, OH 43560-3357
Phone number: 419-290-4741
Mailing Address
TANA M POWELL
4741 WICKFORD DR W
SYLVANIA, OH 43560-3357
Phone number: 419-290-4741