Individual
MRS. KHATREN GHANEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25812 MELIBEE DR, WESTLAKE, OH 44145-5459
(440) 666-0007
Mailing address
25813 MELIBEE DR, WESTLAKE, OH 44145-5458
(440) 666-0007
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN4413395
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4413395
RN
OH
Enumeration date
06/22/2019
Last updated
06/22/2019
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