Individual
AUDREY GREENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 ANGELA LN, AVON LAKE, OH 44012-1134
(440) 823-0046
Mailing address
422 ANGELA LN, AVON LAKE, OH 44012-1134
(440) 823-0046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN349738
OH
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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