Anthony Tyrell Goens Valid NPI
Individual provider · Licensed Practical Nurse · Lima, OH
- NPI
- 1982020285
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- PN.123018 M-IV (OH)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-03-11
- Last updated
- 2014-03-11
Practice location
2639 Elmview Dr
Lima, OH 45806-1613
(937) 638-9365