Individual
SUE ANN WALLENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1173 RICHMAR DR, WESTLAKE, OH 44145-1362
(440) 539-1678
Mailing address
1173 RICHMAR DR, WESTLAKE, OH 44145-1362
(440) 539-1678
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
217011
OH
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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