Individual
MISS CELESTINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 W 19TH ST, LORAIN, OH 44052-3928
(440) 242-2774
Mailing address
1524 W 19TH ST, LORAIN, OH 44052-3928
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN094041
OH
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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