Individual
MARTHA REISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18377 MENNELL RD, GRAFTON, OH 44044-9813
(440) 668-4155
Mailing address
18377 MENNELL RD, GRAFTON, OH 44044-9813
(440) 668-4155
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
331008
OH
Other
Enumeration date
03/04/2011
Last updated
03/05/2011
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