Individual
FARRALYNN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17953 LAKE SHORE BLVD, APT 3, CLEVELAND, OH 44119-1272
(216) 375-2048
Mailing address
17953 LAKE SHORE BLVD, APT 3, CLEVELAND, OH 44119-1272
(216) 375-2048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN153030
OH
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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