Individual
DIANN COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1205 E 173RD ST, CLEVELAND, OH 44119-3132
(216) 218-5966
Mailing address
1205 E 173RD ST, CLEVELAND, OH 44119-3132
(216) 218-5966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN144266
OH
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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