Individual
MRS. JACQUELINE MARIE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-6311
(513) 292-8433
Mailing address
2703 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-6311
(513) 292-8433
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 126548
OH
Other
Enumeration date
06/15/2009
Last updated
06/22/2009
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