Charleene Lucille Moore L.P.N.

NPI 1548537293 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1548537293
Gender Female
Enumeration Date 11/23/2011
Last Updated 11/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5164 CHAMPLIN DR
PERRYSBURG OH, 43551-7179, US
Phone (419) 340-0977
Fax
Business Location
5164 CHAMPLIN DR
PERRYSBURG OH, 43551-7179, US
Phone (419) 340-0977
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number 146571-M-IV
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According to our database, Charleene Lucille Moore L.P.N. NPI is 1548537293, taxonomy code is 164W00000X and license number is 146571-M-IV, license state is located at Ohio. Charleene Lucille Moore L.P.N. physically located at 5164 Champlin Dr, Perrysburg OH, 43551-7179. NPI Number Charleene Lucille Moore L.P.N. has the Individual type.

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1548537293 NPI number is provided on an as is basis without warranty of any kind. 1548537293 is maintained by the National Plan & Provider Enumeration System. The contents of Charleene Lucille Moore L.P.N. are for informational purposes only.