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Individual

MRS. CANDIUS M ROYAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2250 PAR LN, WILLOUGHBY HILLS, OH 44094-2921
(216) 712-0548
Mailing address
2250 PAR LN APT 200, WILLOUGHBY HILLS, OH 44094-2925
(216) 712-0548

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN153445MIV
OH

Other

Enumeration date
09/30/2013
Last updated
02/20/2014
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