Individual
MRS. CANDY J KISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN WCC
Contact information
Practice address
7210 JOPPA RD, HURON, OH 44839-9576
(440) 967-4578
Mailing address
7210 JOPPA RD, HURON, OH 44839-9576
(440) 967-4578
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN084362-IV
OH
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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