Individual
DERICK WILLIAM MCNARY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
10955 SHAKER BLVD, SUITE 205, CLEVELAND, OH 44104-3724
(216) 773-9969
Mailing address
PO BOX 14794, CLEVELAND, OH 44114-0794
(216) 773-9969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.130708-M-IV
OH
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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