Individual
D'SHANA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MARKET ST, LIMA, OH 45801
(567) 703-9064
Mailing address
311 E MARKET ST, LIMA, OH 45801-4535
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.167403.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341741132
—
OH
Enumeration date
04/04/2019
Last updated
04/04/2019
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