Individual
MISS ALISA MARLENE PITMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19700 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6876
(216) 752-9396
Mailing address
19700 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6876
(216) 752-9396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
136118
OH
Other
Enumeration date
02/09/2011
Last updated
01/20/2012
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