Individual
MRS. DENISE MARY FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5791 STATE ROUTE 82, HIRAM, OH 44234-9504
(330) 569-4524
Mailing address
5791 STATE ROUTE 82, HIRAM, OH 44234-9504
(330) 569-4524
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 152652-M-IV
OH
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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