Provider Demographics
NPI:1346406642
Name:ADUBA, JOSEPHINE CHINAZO (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:CHINAZO
Last Name:ADUBA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6126 WILLOWVALE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-5743
Mailing Address - Country:US
Mailing Address - Phone:419-867-4091
Mailing Address - Fax:
Practice Address - Street 1:6126 WILLOWVALE DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-5743
Practice Address - Country:US
Practice Address - Phone:419-867-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN- 115421 MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse