Individual
REBECCA RYAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6764 CEDARWOOD TRCE, MIDDLEBURG HEIGHTS, OH 44130-9502
(330) 601-7276
Mailing address
6764 CEDARWOOD TRCE, MIDDLEBURG HEIGHTS, OH 44130-9502
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400663920907
OH
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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