Individual
BASSAM NOOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25861 KENNEDY RIDGE RD, NORTH OLMSTED, OH 44070-4530
(440) 984-8601
Mailing address
25861 KENNEDY RIDGE RD, NORTH OLMSTED, OH 44070
(440) 984-8601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
379059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379059
STATE OF OHIO NURSING LICENSE
OH
Enumeration date
03/28/2013
Last updated
03/28/2013
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