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NPI Code Detail

MEDICARE: MRS. ALESIA MARIE DANFORD LPN

MEDICARE:  MRS. ALESIA MARIE DANFORD  LPN
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
1164W00000XLicensed Practical Nurse119345OH

General Provider Information

NPI Number : 1801089362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALESIA MARIE DANFORD LPN
Provider Business Mailing Address
First Line : 12141 GEORGETOWN ST NE
Second Line :
City : PARIS
State : OH
Zip : 44669-9704
Country : US
Telephone Number : 330-862-9009
Fax Number :
Provider Business Practice Location Address
First Line : 12141 GEORGETOWN ST NE
Second Line :
City : PARIS
State : OH
Zip : 44669-9704
Country : US
Telephone Number : 330-862-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2007
Last Update Date : 08/19/2007

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Directions to “ MRS. ALESIA MARIE DANFORD LPN” Practice Location

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