Individual
MARY OPAL MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8532 MENTOR AVE, MENTOR, OH 44060-5822
(440) 205-1008
Mailing address
1071 RT. 46 NORTH, JEFFERSON, OH 44047
(440) 990-0363
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
254020
OH
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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