Individual
MISS DIANA D COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2211 PINE TREE LN, APT R, REYNOLDSBURG, OH 43068-3576
(614) 483-6224
Mailing address
2211 PINE TREE LN, APT R, REYNOLDSBURG, OH 43068-3576
(614) 483-6224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
149039-M-IV
OH
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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