Laci Jade Powell, STNA Valid NPI
Individual provider · Nurse's Aide · Malta, OH
- NPI
- 1760622914
- Type
- Individual (Type 1)
- Primary specialty
- Nurse's Aide
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 376K00000X
- License number
- 400767990608 (OH)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-03-01
- Last updated
- 2009-03-01
Practice location
4458 W Poplar Ridge Rd Nw
Malta, OH 43758-9127
(740) 962-6169