Individual
SHANTEL LATORIA CARSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(859) 359-5404
Mailing address
523 ROEBLING RD, CINCINNATI, OH 45238-5529
(513) 869-3911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2054476
KY
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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