Individual
MS. LATRIS SHERRIS DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30027 TRUMAN AVE, WICKLIFFE, OH 44092-1723
(440) 993-0316
Mailing address
PO BOX 176, WILLOUGHBY, OH 44096-0176
(440) 994-0316
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1807530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1807530
—
OH
Enumeration date
02/21/2021
Last updated
02/21/2021
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