Keisha Larone Mack, LPN

NPI #1841478112 in Blacklick, Ohio

Provider Information

NPI Number
1841478112
Entity Type
Individual
Name
Keisha Larone Mack, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 8, 2008
Last Updated
Feb 8, 2008

Practice Location

Address
8137 EQUITANA WAY
State
Ohio
ZIP Code
43004-9148
Phone
(614) 575-2769

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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