Individual
DESIRE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6710 LAKOTA POINTE LN, LIBERTY TOWNSHIP, OH 45044-9198
(937) 243-0302
Mailing address
6710 LAKOTA POINTE LN, LIBERTY TOWNSHIP, OH 45044-9198
(937) 243-0302
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
154313
OH
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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