Individual
DEANNA LYNN LOCOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24269 FAIRLAWN DR, NORTH OLMSTED, OH 44070-1514
(440) 724-6517
Mailing address
24269 FAIRLAWN DR, NORTH OLMSTED, OH 44070-1514
(440) 724-6517
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055189
—
OH
Enumeration date
09/22/2020
Last updated
09/23/2020
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