Most Relevant Information
Provider Data
| NPI Number: | 1003214644 |
| Provider Name: | SANDRA KAY MOREO LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN.139149-M-IV |
Most Important Dates
| Enumeration Date: | 12/14/2014 |
| Last Updated: | 12/14/2014 |
Provider Practice Location
207 N RIVER ST
CONTINENTAL
OH
458318952
Practice Location Phone/Fax
| Phone: | 4199690685 |
| Fax: |
Provider Mailing Location
207 N RIVER ST
CONTINENTAL
OH
458318952
Provider Mailing Phone/Fax
| Phone: | 4199690685 |
| Fax: |