Individual
BETTY BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21465 DETROIT RD, APT A201, ROCKY RIVER, OH 44116-2222
(216) 905-0315
Mailing address
21465 DETROIT RD, APT A201, ROCKY RIVER, OH 44116-2222
(216) 905-0315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN144460
OH
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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