Individual
DERRIKA D PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8507 TIOGA AVE, CLEVELAND, OH 44105-6037
(216) 224-0350
Mailing address
8507 TIOGA AVE, CLEVELAND, OH 44105
(216) 224-0350
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 152821
OH
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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