Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Jan 13, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 770204 | Lakewood, OH 44107-0017 | 216-300-9645 |
| LOCATION | 9701 BROOKPARK RD STE 236 | Parma, OH 44129-6824 | 216-300-9645 |
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