Individual
MISS CAROLYN DENISE SQUARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
127 WIRT BLVD # 4, YOUNGSTOWN, OH 44510-1530
(330) 743-0883
Mailing address
127 WIRT BLVD # 4, YOUNGSTOWN, OH 44510-1530
(330) 743-0883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.127857 IV
OH
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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