Individual
CHRISTINA LYNN WALRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
410 W NORTHERN AVE, LIMA, OH 45801-2623
(419) 230-2017
Mailing address
410 W NORTHERN AVE, LIMA, OH 45801-2623
(419) 230-2017
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.171351.MEDS-IV
OH
Other
Enumeration date
06/24/2021
Last updated
10/06/2021
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