Individual
MRS. ELIZABETH ANN VENCL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLPN
Contact information
Practice address
2965 REEVES RD, WILLOUGHBY, OH 44094-6593
(440) 918-0884
Mailing address
2965 REEVES RD, WILLOUGHBY, OH 44094-6593
(440) 918-0884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.068104
OH
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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