Individual
CELESTINE DJILE DEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 ENGLEWOOD DR, SILVER LAKE, OH 44224-3848
(330) 285-1517
Mailing address
3066 ENGLEWOOD DR, SILVER LAKE, OH 44224-3848
(330) 285-1517
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
322172510901
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376K00000X
—
OH
Enumeration date
06/24/2010
Last updated
06/24/2010
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