Individual
CHASIDY SUNSHINE WIESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8176 MILL CREEK CIR, WEST CHESTER, OH 45069-1651
(513) 860-1806
Mailing address
8176 MILL CREEK CIR, WEST CHESTER, OH 45069-1651
(513) 860-1806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.121985-IV
OH
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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