Individual
KANDISE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2610 MORNINGDALE CT, CINCINNATI, OH 45211
(513) 633-4790
Mailing address
2610 MORNINGDALE CT, CINCINNATI, OH 45211-8207
(513) 633-4790
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
136890
OH
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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