Jon Paul Smith Pasker I, LPN
Licensed Practical Nurse in Toledo, OH. Individual provider (NPI-1).
NPI number1669935797
StatusActive
Last updated in NPPESApr 6, 2019
Details
- NPI
- 1669935797
- Entity type
- Individual (NPI-1)
- Name
- Jon Paul Smith Pasker I
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2019
- Last updated
- Apr 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 096750 | OH | Yes |
Practice location
516 S Detroit AveToledo, OH 43609-1932
Phone 419-206-4101
Mailing address
516 S Detroit AveToledo, OH 43609-1932
Phone 419-206-4101
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