KELLY D COLLIFLOWER

MOUNT VERNON, OH
NPI1083435861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  103705)
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
KELLY D COLLIFLOWER LPN
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-399-8022
Mailing Address
KELLY D COLLIFLOWER LPN
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-399-8022