Individual
MS. CAYLA CORIN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(704) 929-7398
Mailing address
5369 BOEHM DR APT B, FAIRFIELD, OH 45014-7819
(513) 903-5059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.188278
OH
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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