Individual
MRS. DARRALYN DELLICE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
87 PAXTON AVE, APT.3N, CALUMET CITY, IL 60409-1557
(708) 566-0324
Mailing address
87 PAXTON AVE, APT.3N, CALUMET CITY, IL 60409-1557
(708) 566-0324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043080115
IL
164W00000X
Licensed Practical Nurse
27070140A
IN
164W00000X
Licensed Practical Nurse
Primary
PN101904
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2686473
—
OH
Enumeration date
07/02/2008
Last updated
07/09/2015
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