Individual
MAUREEN ELIZABETH NUNNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COUNTRYSIDE DR, CHAGRIN FALLS, OH 44022-4104
(440) 596-1152
Mailing address
7191 HART ST APT 125, MENTOR, OH 44060-4954
(440) 596-1152
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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