Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Feb 15, 2024
License(s)
APRN.CNP.0035771 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 11706 CLIFTON BLVD | Lakewood, OH 44107-2018 | |
| LOCATION | 11706 CLIFTON BLVD | Lakewood, OH 44107-2018 | 216-228-9296 |
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