Individual
SUSAN DEMAIORIBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4897
(216) 320-8240
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4897
(216) 320-8240
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN323769
OH
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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