Individual
KLADE JORNYOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3350 COLLINGWOOD BLVD, TOLEDO, OH 43610-1173
(419) 255-9585
Mailing address
6144 W WYANDOTTE RD, MAUMEE, OH 43537-1335
(419) 350-1913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.486458
OH
164W00000X
Licensed Practical Nurse
PN.123119
OH
Other
Enumeration date
11/12/2016
Last updated
02/23/2021
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