Individual
CAROLYN WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
297 HAWTHORNE ST, ELYRIA, OH 44035-3723
(615) 584-2984
Mailing address
297 HAWTHORNE ST, ELYRIA, OH 44035-3723
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
409277
OH
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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