Individual
DIANA K ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44 E 224TH ST, EUCLID, OH 44123-1112
(440) 796-3590
Mailing address
44 EAST 224TH STREET, EUCLID, OH 44123
(440) 796-3590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-108847
OH
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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