Individual
MISS CALLIE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4867 BRIDGE LN, APT 5, MASON, OH 45040-6947
(804) 655-9254
Mailing address
4867 BRIDGE LN, APT 5, MASON, OH 45040-6947
(804) 655-9254
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
159203
OH
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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