Individual
AISHAH ROULETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23875 COMMERCE PARK STE 140, BEACHWOOD, OH 44122-5805
(216) 532-3427
Mailing address
23875 COMMERCE PARK STE 140, BEACHWOOD, OH 44122-5805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.159311
OH
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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