Individual
LANISE LACOLE PRIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15972 RAVINE DR, E CLEVELAND, OH 44112-2218
(216) 288-6189
Mailing address
15972 RAVINE DR, E CLEVELAND, OH 44112-2218
(216) 288-6189
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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