Individual
DORENDA OUSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27400 CHARDON RD, WILLOUGHBY HILLS, OH 44092-2901
(216) 877-2803
Mailing address
27400 CHARDON RD, WILLOUGHBY HILLS, OH 44092-2901
(216) 577-2803
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
118592
OH
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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