Individual
CELESTE ANN MCHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3696 C SEDAN CRABTREE RD, LUCASVILLE, OH 45648-1269
(740) 464-7909
Mailing address
PO BOX 1269, LUCASVILLE, OH 45648-1269
(740) 464-7909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN109274
OH
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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