Individual
LUCILLE TOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 MIAMI AVE, ELYRIA, OH 44035-6005
(440) 284-1060
Mailing address
135 MIAMI AVE, ELYRIA, OH 44035-6005
(440) 284-1060
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2388125
OH
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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