Individual
CARLA RENAE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6514 GERTRUDE AVE, CLEVELAND, OH 44105-3518
(216) 376-6614
Mailing address
6514 GERTRUDE AVE, CLEVELAND, OH 44105-3518
(216) 376-6614
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
148926
OH
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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