Individual
MRS. DOMINICK DANIALE WEST-KIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2155 OLD HICKORY LN, HOLLAND, OH 43528-9570
(419) 320-2185
Mailing address
2155 OLD HICKORY LN, HOLLAND, OH 43528-9570
(419) 320-2185
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 121733
OH
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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