Individual
CHANTELL FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1958 WELLESLEY DR, TOLEDO, OH 43606-3969
(419) 677-4552
Mailing address
1958 WELLESLEY DR, TOLEDO, OH 43606-3969
(419) 677-4552
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401792830915
OH
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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