Individual
MRS. CYNTHIA ELAINE DEROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5325 HARMONY LN, WILLOUGHBY, OH 44094-4307
(440) 975-9082
(440) 975-9082
Mailing address
5325 HARMONY LN, WILLOUGHBY, OH 44094-4307
(440) 975-9082
(440) 975-9082
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN070044
OH
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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