Individual
JARREAU DIAMOND MIREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2387 LEE RD, CLEVELAND HTS, OH 44118-3423
(216) 952-7742
Mailing address
2387 LEE RD, CLEVELAND HTS, OH 44118-3423
(216) 952-7742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401411270712
OH
Other
Enumeration date
05/04/2012
Last updated
07/06/2012
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