KELLY JO WALLEN

SPRINGFIELD, OH
NPI1578225637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN.155614.MEDS-IV)
Enumeration Date2021-10-06
Last Update Date2021-10-06
Business Address
KELLY JO WALLEN
287 E. LEFFEL LANE
SPRINGFIELD, OH 45505
Phone number: 937-342-3041
Mailing Address
KELLY JO WALLEN
287 E. LEFFEL LANE
SPRINGFIELD, OH 45505
Phone number: 937-342-3041