Individual
CHANELLE ARDELL DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3685 PARKER KNOLL LN, COLUMBUS, OH 43219-6210
(614) 439-6017
Mailing address
3685 PARKER KNOLL LN, COLUMBUS, OH 43219-6210
(614) 439-6017
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2878257
—
OH
Enumeration date
07/29/2010
Last updated
01/26/2015
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