Individual
MRS. DORIEN WORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18150 EUCLID AVE APT B8, CLEVELAND, OH 44112-1093
(216) 288-5603
Mailing address
18150 EUCLID AVE APT B8, CLEVELAND, OH 44112-1093
(216) 288-5603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.154698-M-IV
OH
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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