Individual
CELESTE MICHELLE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2439 KREMER AVE, CINCINNATI, OH 45225-1003
(513) 302-0018
Mailing address
2439 KREMER AVE, CINCINNATI, OH 45225-1003
(513) 302-0018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125119
OH
Other
Enumeration date
03/17/2013
Last updated
03/17/2013
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