TIERA LAKES

DAYTON, OH
NPI1902316391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.165421.MEDS-IV)
Enumeration Date2017-10-11
Last Update Date2017-10-11
Business Address
TIERA LAKES
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 937-496-2000
Mailing Address
TIERA LAKES
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number:
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