Individual
DIONTE TAMIKA COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8101 EUCLID AVE STE 201, CLEVELAND, OH 44103-5059
(216) 220-0035
Mailing address
13639 SHADY OAK BLVD, GARFIELD HTS, OH 44125-6030
(216) 965-4138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.178715.MEDS-IV
OH
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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