Individual
CAROL LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7280 SCOTTSDALE CIR, MENTOR, OH 44060-6493
(440) 749-1710
Mailing address
7280 SCOTTSDALE CIR, MENTOR, OH 44060-6493
(440) 749-1710
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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