Individual
MS. COURTNEY TENNEILLE YANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1064 HARVARD DR SE, WARREN, OH 44484-4812
(330) 766-3411
Mailing address
1064 HARVARD DR SE, WARREN, OH 44484-4812
(330) 766-3411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN100692
OH
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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