Individual
CHER LANETTE CAULTON MALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2242 WHITNEY AVE, TOLEDO, OH 43606-4627
(419) 418-4927
Mailing address
1630 TWIN OAKS DR, TOLEDO, OH 43615-4000
(419) 932-5216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN108524MEDS
OH
Other
Enumeration date
09/26/2011
Last updated
03/17/2018
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