Individual
ALICE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1350 GIEL AVE, LAKEWOOD, OH 44107-2732
(216) 644-4355
Mailing address
1350 GIEL AVE, LAKEWOOD, OH 44107-2732
(216) 644-4355
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400020130901
OH
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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