Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 2237 | OH |
NPI | 1205953585 |
---|---|
Provider Name | Arbadella Frank |
First Address | Piqua, OH 45356-2318 |
Second Address | Piqua, OH 45356-2318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |