Individual
MISS MARY ELIZABETH KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 BARLETT STREET, CLEVELAND, OH 44128-4806
(216) 751-5176
Mailing address
19200 ROSELAND AVE, G-349, EUCLID, OH 44117-1385
(216) 624-6444
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
320922870804
OH
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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