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NPI Code Detail

MEDICARE: THERESA ROCHELLE SNEED RN

MEDICARE: THERESA ROCHELLE SNEED RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.336737OH

General Provider Information

NPI Number : 1255513164
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA ROCHELLE SNEED RN
Provider Business Mailing Address
First Line : 3004 MIRIMAR ST APT 2
Second Line :
City : KETTERING
State : OH
Zip : 45409-1414
Country : US
Telephone Number : 937-389-6825
Fax Number :
Provider Business Practice Location Address
First Line : 50 S FINDLAY ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-2023
Country : US
Telephone Number : 937-252-1661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2007
Last Update Date : 12/03/2007

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Directions to “ THERESA ROCHELLE SNEED RN” Practice Location

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