Individual provider · Type 1 NPI

Ellen Detrick

Optician · Lima, OH

NPI number 1114625282 Active

About NPI 1114625282

Ellen Detrick's National Provider Identifier is 1114625282, issued on Feb 20, 2023. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Lima, OH. The record was last updated on Feb 20, 2023.