Individual
ANGELA DELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
914 STATE ROUTE 511, ASHLAND, OH 44805-9579
(419) 281-8687
Mailing address
914 STATE ROUTE 511, ASHLAND, OH 44805-9579
(419) 281-8687
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 074251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2320198
—
OH
Enumeration date
05/07/2007
Last updated
07/09/2007
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