Individual
DARREL GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26101 COUNTRY CLUB BLVD APT 1105, NORTH OLMSTED, OH 44070-4547
(216) 338-0362
Mailing address
26101 COUNTRY CLUB BLVD APT 1105, NORTH OLMSTED, OH 44070-4547
(216) 338-0362
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.186269
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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