Individual
LARISSA MARIE CALVARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
624 SIMONS DR, BRUNSWICK, OH 44212-2126
(330) 244-6972
Mailing address
624 SIMONS DR, BRUNSWICK, OH 44212-2126
(330) 244-6972
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402172010519
OH
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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