Individual
MS. LONJENNA YVETTE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-7662
Mailing address
461 BERNARD CT, DAYTON, OH 45427-2714
(937) 268-7883
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN-083005
OH
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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