Individual
CHANDRA LYNN NIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 W 11TH ST, LORAIN, OH 44052-1203
(440) 654-7189
Mailing address
1509 W 11TH ST, LORAIN, OH 44052-1203
(440) 654-7189
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376708650797
OH
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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