STATHIA LINEBACK

LOGANSPORT, IN
NPI1902542681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27072417A)
Enumeration Date2022-05-06
Last Update Date2022-05-06
Business Address
STATHIA LINEBACK LPN
602 WOODBRIDGE AVE
LOGANSPORT, IN 46947-1661
Phone number: 574-753-3223
Mailing Address
STATHIA LINEBACK LPN
2904 S US HIGHWAY 35 LOT 21
LOGANSPORT, IN 46947-6695
Phone number: 574-336-2384