Individual
MRS. CAMMY SUE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9065 KNOUFF RD., PIQUA, OH 45356-9305
(937) 381-5042
Mailing address
9065 KNOUFF RD., PIQUA, OH 45356-9305
(937) 381-5042
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102502
OH
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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