Individual
MRS. ELAINE DISSAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9584 FOXWOOD DR, CHARDON, OH 44024
(440) 285-4458
(440) 285-4458
Mailing address
9584 FOXWOOD DR, CHARDON, OH 44024
(440) 285-4458
(440) 285-4458
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2449818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2449818
RN
OH
Enumeration date
03/26/2007
Last updated
07/08/2007
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