Individual
MS. JACQUELINE DANIELLE GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
706 EAST ST APT 2, HARRISON, OH 45030-1254
(513) 254-3455
Mailing address
706 EAST ST APT 2, HARRISON, OH 45030-1254
(513) 254-3455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN119511 MEDS
OH
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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