Individual
CANDIES JA'NET BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1372 YORKLAND RD, APT A, COLUMBUS, OH 43232-7480
(614) 517-3055
Mailing address
1372 YORKLAND RD, APT A, COLUMBUS, OH 43232-7480
(614) 517-3055
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN120452
OH
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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