Codie Lynn Street, LPN

NPI #1760130868 in Cedar Bluff, Virginia

Provider Information

NPI Number
1760130868
Entity Type
Individual
Name
Codie Lynn Street, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 17, 2022
Last Updated
Mar 17, 2022

Practice Location

Address
111 TOWN HOLLOW RD
ZIP Code
24609-9622
Phone
(276) 963-3554

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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