Individual
CHARLENE ANNE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12746 VINCENT DR, MANTUA, OH 44255-9309
(330) 562-4774
Mailing address
12746 VINCENT DR, MANTUA, OH 44255-9309
(330) 562-4774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN065557
OH
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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