Individual
MISS MONICA ANITA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
128 PEARL ST, PAINESVILLE, OH 44077-3567
(440) 479-9835
Mailing address
128 PEARL ST, PAINESVILLE, OH 44077-3567
(440) 479-9835
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
401077040510
OH
376K00000X
Nurse's Aide
Primary
401077040510
OH
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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