Individual
DEANNE MARIE DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3452 MONTROSE AVE, FAIRLAWN, OH 44333-2414
(330) 606-5653
Mailing address
3452 MONTROSE AVE, FAIRLAWN, OH 44333-2414
(330) 606-5653
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 100639
OH
Other
Enumeration date
08/17/2007
Last updated
03/25/2008
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