Charles A Dearborn, LPN0 Valid NPI

Individual provider · Licensed Practical Nurse · Macy, NE

NPI

1659580652

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

P46282 (IA)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-22

Last updated

2007-07-08