Individual
MRS. TATYANA MARICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
(216) 448-6400
Mailing address
6054 PEARL RD, PARMA HEIGHTS, OH 44130-2002
(440) 212-6227
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
394987
OH
163WP0200X
Pediatric Registered Nurse
Primary
394987
OH
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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