Search › Ohio › 164W00000X
Autumn Trace, LPN
NPI 1316084346 · on the registry since 2007
Practice
- Address
- 710 Jackson Hill Rd
Jackson, OH 45640 - Phone
- (740) 286-0212
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio