Individual provider · NPI-1

Autman L Autman, Independent provider

Technician, Attendant Care Provider · Toledo, OH

NPI number1326866831
StatusActive
Last updated in NPPESOct 2, 2024

Details

NPI
1326866831
Entity type
Individual (NPI-1)
Name
Autman L Autman
Credential
Independent provider
Sex
Male
Sole proprietor
No
Enumeration date
Oct 2, 2024
Certification date
Oct 2, 2024
Last updated
Oct 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

639 Marmion Ave
Toledo, OH 43607-3811

Phone 419-810-0352

Mailing address

639 Marmion Ave
Toledo, OH 43607-3811

Phone 419-810-0352

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