Individual
ANDREA DANEEN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18211 LA SALLE AVE, CLEVELAND, OH 44119-2001
(216) 527-7667
Mailing address
18211 LA SALLE AVE, CLEVELAND, OH 44119-2001
(216) 527-7667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
130264
OH
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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