Individual
GAY ELLEN CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1544 CHARLES ST, PORTSMOUTH, OH 45662-4636
(740) 355-3236
Mailing address
1544 CHARLES STREET, PORTSMOUTH, OH 45662
(740) 355-3236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211202
OH
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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