Individual
ANGELA M O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11724 PALMER RD SW, REYNOLDSBURG, OH 43068-3829
(614) 620-1762
Mailing address
11724 PALMER RD SW, REYNOLDSBURG, OH 43068-3829
(614) 620-1762
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN134192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
WAITING TO GET IP NUMBER
OH
Enumeration date
04/26/2009
Last updated
04/26/2009
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