Individual
CAROLYN VANDERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 969-8768
(937) 258-4261
Mailing address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 969-8768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN153433-M-IV
OH
Other
Enumeration date
02/23/2016
Last updated
03/01/2024
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