Individual
MRS. DIANTHA C PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3729
(440) 233-6899
Mailing address
504 COOPER FOSTER PARK RD W, LORAIN, OH 44053-3729
(440) 233-6899
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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