Individual
BREONA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3106 STONE RIDGE CIR, BEREA, OH 44017-3107
(216) 832-1757
Mailing address
3106 STONE RIDGE CIR, BEREA, OH 44017-3107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
437876
OH
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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