Individual
MS. JAMIE LYNN COONROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
529 COTTERMAN LN, LONDONDERRY, OH 45647-9778
(740) 542-2184
Mailing address
529 COTTERMAN LN, LONDONDERRY, OH 45647-9778
(740) 542-2184
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501040921105
OH
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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