Individual
CARISSA MORGAN BONUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195
(216) 444-6191
Mailing address
2127 WASCANA AVE, LAKEWOOD, OH 44107-6150
(440) 759-3183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
06/08/2017
Last updated
06/11/2018
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