Individual
BLONDINA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
820 PINE AVE SE, WARREN, OH 44483-6524
(330) 393-0598
Mailing address
535 MARMION AVE, YOUNGSTOWN, OH 44502-2323
(330) 782-5664
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN119286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803312
—
OH
Enumeration date
02/16/2012
Last updated
01/05/2015
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