Individual
MISS CAYENNE REGINA PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1825 ADAMS LN APT 108, ZANESVILLE, OH 43701-2679
(740) 704-4651
Mailing address
1825 ADAMS LN APT 108, ZANESVILLE, OH 43701-2679
(740) 704-4651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN . 131791
OH
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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