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NPI Code Detail

MEDICARE: MARQUETTA ALLISON

MEDICARE: MARQUETTA ALLISON
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
1376K00000XNurse's Aide363110231289EOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1363110231289EOTHEROHNURSE AIDE

General Provider Information

NPI Number : 1316494974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARQUETTA ALLISON
Provider Business Mailing Address
First Line : 2017 BAKEWELL
Second Line :
City : TOLEDO
State : OH
Zip : 43605
Country : US
Telephone Number : 567-225-8414
Fax Number : 419-698-4909
Provider Business Practice Location Address
First Line : 2017 BAKEWELL ST
Second Line :
City : TOLEDO
State : OH
Zip : 43605-1203
Country : US
Telephone Number : 567-225-8414
Fax Number : 419-698-4909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 11/26/2018

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Directions to “ MARQUETTA ALLISON ” Practice Location

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