Individual
KALEESHA DARCUIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 MOORE RD APT 5D, AVON LAKE, OH 44012-1266
(440) 714-9461
Mailing address
264 MOORE RD APT 5D, AVON LAKE, OH 44012-1266
(440) 714-9461
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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