Individual
MISS CHELSIE RENEE DANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1425 BRENTFIELD DR, WADSWORTH, OH 44281-6202
(330) 807-8350
Mailing address
1425 BRENTFIELD DR, WADSWORTH, OH 44281-6202
(330) 807-8350
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN121562
OH
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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