Individual
MS. CARMEN SIMONE COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1527 TENNYSON AVE, DAYTON, OH 45406-4245
(937) 275-2755
(937) 275-2755
Mailing address
1527 TENNYSON AVE, DAYTON, OH 45406-4245
(937) 275-2755
(937) 275-2755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-097245
OH
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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