Most Relevant Information
Provider Data
NPI Number: | 1003233883 |
Provider Name: | AUTUMN-MARIE JEAN GARRISON RN |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | RN398295 |
Most Important Dates
Enumeration Date: | 03/18/2014 |
Last Updated: | 03/18/2014 |
Provider Practice Location
1860 CRASE DR
XENIA
OH
453854918
Practice Location Phone/Fax
Phone: | 9378385749 |
Fax: |
Provider Mailing Location
1860 CRASE DR
XENIA
OH
453854918
Provider Mailing Phone/Fax
Phone: | 9378385749 |
Fax: |