Individual
MS. DENEE D. GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 E 143RD ST, CLEVELAND, OH 44110-3416
(216) 410-2172
Mailing address
912 E 143RD ST, CLEVELAND, OH 44110-3416
(216) 410-2172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121141
OH
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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