Individual
DAZIANNA M COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11704 ROBERTSON AVE, CLEVELAND, OH 44105-6223
(216) 256-7157
Mailing address
11704 ROBERTSON AVE, CLEVELAND, OH 44105-6223
(216) 256-7157
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164749
OHIO BOARD OF NURSING
OH
Enumeration date
02/27/2019
Last updated
06/11/2019
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