Individual
DRIEMONNETTA ILENE OKAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1069 E 146TH ST, CLEVELAND, OH 44110-3315
(216) 375-6210
Mailing address
1069 E 146TH ST, CLEVELAND, OH 44110-3315
(216) 375-6210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN155279M-IV
OH
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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