Individual
DIANA MOUSOULIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24165 DETROIT RD, WESTLAKE, OH 44145-1516
(440) 617-7646
Mailing address
2661 CRYSTALWOOD DR, BROADVIEW HEIGHTS, OH 44147-3480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233037
OH
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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