Individual
CANDACE LYNETTE GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14260 STATE ROUTE 109, DELTA, OH 43515-9757
(419) 360-0480
Mailing address
14260 STATE ROUTE 109, DELTA, OH 43515-9757
(419) 360-0480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.141536-M-IV
OH
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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