Individual
MS. MINNIE LUCILLE CHANNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
143 LINDEN AVE, NEWARK, OH 43055-4110
(740) 644-2363
Mailing address
143 LINDEN AVE, NEWARK, OH 43055-4110
(740) 644-2363
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN253290
OH
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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