Individual
CHARLENA VIOLET ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1075 MAPLE GROVE RD, CHILLICOTHE, OH 45601
(740) 772-4349
Mailing address
1075 MAPLE GROVE RD, CHILLICOTHE, OH 45601-8906
(740) 772-4349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN124719
OH
Other
Enumeration date
08/01/2007
Last updated
06/06/2018
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