Individual
MICHELLE L BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. T.
Contact information
Practice address
205 W 20TH ST, LORAIN, OH 44052-3779
(440) 244-3833
Mailing address
102 ANNIS RD, SOUTH AMHERST, OH 44001-3020
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
R8852503
OH
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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