Individual
CHARLEEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 ELMWOOD PARK DR, DAYTON, OH 45449-5402
(937) 384-0580
Mailing address
100 ELMWOOD PARK DR, DAYTON, OH 45449-5402
(937) 384-0580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.162437.MEDS-IV
OH
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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