Individual
CHRISTINE NICOLE MCDERMIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5820 SMITH RD, HOUSTON, OH 45333-8609
(937) 821-4015
Mailing address
5820 SMITH RD, HOUSTON, OH 45333-8609
(937) 821-4015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-141622-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455614
—
OH
Enumeration date
10/07/2010
Last updated
10/07/2010
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