MEDICARE: MISS ARIEL GARRETT

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
1	376K00000X	Nurse's Aide	400232510403	OH

General Provider Information

NPI Number	:	1952721722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ARIEL GARRETT

Provider Business Mailing Address
First Line	:	1804 WELLESLEY DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4030
Country	:	US
Telephone Number	:	419-508-2595
Fax Number	:	419-474-9553

Provider Business Practice Location Address
First Line	:	1804 WELLESLEY DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-4030
Country	:	US
Telephone Number	:	419-508-2595
Fax Number	:	419-474-9553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/21/2014

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Directions to “ MISS ARIEL GARRETT ” Practice Location

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