Individual
MRS. DARNETTA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 762-1237
Mailing address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 762-1237
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
149389
OH
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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