NPI | 1295226934 |
---|---|
Former Name | VANESSA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.182274.MEDS-IV) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-11-06 |