Individual
CHARISE MC ELRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
868 ANSEL RD, CLEVELAND, OH 44103-2118
(216) 326-1710
Mailing address
868 ANSEL RD, CLEVELAND, OH 44103-2118
(216) 326-1710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-129899
OH
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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