Individual
DEANNA K WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26250 EUCLID AVE, 521, EUCLID, OH 44132-3305
(216) 820-1583
Mailing address
22030 MORRIS AVE, EUCLID, OH 44123-2945
(216) 820-1593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
112903
OH
Other
Enumeration date
12/09/2008
Last updated
03/18/2009
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