Organization
CANDACE NALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CANDACE A. NALLS (LPN)
(937) 242-8167
Entity
Organization
Contact information
Practice address
4476 CATALINA AVE, DAYTON, OH 45416-1365
(937) 242-8167
Mailing address
4476 CATALINA AVE, DAYTON, OH 45416-1365
(937) 242-8167
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN155636
OH
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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