Individual
IRIS MICOCHERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20600 SHAKER BLVD, SHAKER HEIGHTS, OH 44122
(216) 295-4112
Mailing address
20600 SHAKER BLVD, SHAKER HEIGHTS, OH 44122-2620
(216) 295-4112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 194752
OH
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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