Individual
CANDACE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
547 N NIXON AVE, LIMA, OH 45805-1811
(419) 371-0975
Mailing address
547 N NIXON AVE, LIMA, OH 45805-1811
(419) 371-0975
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.190919
OH
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
02/17/2026
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