Individual
COLLEEN LYNN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 609-1460
(216) 229-2992
Mailing address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 609-1460
(216) 229-2992
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
054661
OH
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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