MRS. Nicole Lynn Wallis, LPN

NPI #1154409357 in Wellston, Ohio

Provider Information

NPI Number
1154409357
Entity Type
Individual
Name
MRS. Nicole Lynn Wallis, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
421 EAST 1ST STREET
State
Ohio
ZIP Code
45692
Phone
(740) 384-4341

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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