Individual
DIANE. M NUNNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28350 SOUTHBRIDGE CIR, WESTLAKE, OH 44145-5330
(216) 386-2229
Mailing address
28350 SOUTHBRIDGE CIR, WESTLAKE, OH 44145-5330
(216) 386-2229
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1808771
OH
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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