Most Relevant Information
Provider Data
| NPI Number: | 1003195744 |
| Provider Name: | TIFFANY MARIE SEDLOCK LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN.139836-M-IV |
Most Important Dates
| Enumeration Date: | 08/12/2011 |
| Last Updated: | 08/12/2011 |
Provider Practice Location
433 N HIGH ST
LA RUE
OH
433328877
Practice Location Phone/Fax
| Phone: | 7402624351 |
| Fax: |
Provider Mailing Location
433 N HIGH ST
LA RUE
OH
433328877
Provider Mailing Phone/Fax
| Phone: | 7402624351 |
| Fax: |