Individual
MS. DIANE MC MOLCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 SHAGBARK TRL, STRONGSVILLE, OH 44149-2866
(440) 878-0053
Mailing address
PO BOX 360272, STRONGSVILLE, OH 44136-0005
(440) 878-0053
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073696
—
OH
Enumeration date
11/03/2010
Last updated
11/03/2010
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