Pamela K Tetrault, LPN
Licensed Practical Nurse in Shiloh, OH. Individual provider (NPI-1).
NPI number1841422011
StatusActive
Last updated in NPPESAug 20, 2009
Details
- NPI
- 1841422011
- Entity type
- Individual (NPI-1)
- Name
- Pamela K Tetrault
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2009
- Last updated
- Aug 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN100580 | OH | Yes |
Practice location
7402 State Route 13 NShiloh, OH 44878-8944
Phone 419-631-5838
Mailing address
7402 State Route 13 NShiloh, OH 44878-8944
Phone 419-631-5838
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