Individual
GLENDORA LYNNETTE CORNIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1028 NOHUNTA CT, CINCINNATI, OH 45231-2569
(513) 821-5105
Mailing address
1028 NOHUNTA CT, CINCINNATI, OH 45231-2569
(513) 821-5105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
117691
OH
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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