Individual
JACQUELYN RHOENA DELVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1208 CHARLESTON CT, TROY, OH 45373-1570
(937) 216-7076
Mailing address
1208 CHARLESTON CT, TROY, OH 45373-1570
(937) 216-7076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN082143
OH
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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