Individual
MRS. CYNTHIA CRISTINA O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SAW MILL RD, LAFAYETTE, IN 47905-5592
(765) 701-2660
Mailing address
100 SAW MILL RD, LAFAYETTE, IN 47905-5592
(765) 701-2660
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1801901
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202102011458098
STATE OF INDIANA BUSINESS ID
IN
Enumeration date
02/01/2021
Last updated
02/01/2021
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