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Chanceline Tengomoh
Licensed Practical Nurse in Fairfield, Ohio
NPI 1114664562

Chanceline Tengomoh is a Licensed Practical Nurse based in Fairfield, OH. Chanceline Tengomoh practices in Fairfield, OH. The NPI Number for Chanceline Tengomoh is 1114664562 and holds a License No. 181030 (Ohio).

The current practice location address for Chanceline Tengomoh is 4 S Timber Hollow Dr Apt 413, Fairfield, OH and can be reached out via phone at 402-601-4728.

Location: 4 S Timber Hollow Dr Apt 413, Fairfield, OH, 45014-7824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114664562
Provider Name
Chanceline Tengomoh
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 S Timber Hollow Dr Apt 413, Fairfield, OH, 45014-7824
Phone Number
402-601-4728
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 S Timber Hollow Dr Apt 413
City
Fairfield
State
Ohio
Zip
45014-7824
Phone Number
402-601-4728
Fax Number
person
Provider Business Mailing Address Details
Address
4 S Timber Hollow Dr Apt 413
City
Fairfield
State
Ohio
Zip
45014-7824
Phone Number
402-601-4728
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
181030 (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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