Individual
LUNA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
Mailing address
3814 PROSPECT AVE E APT 305, CLEVELAND, OH 44115-2753
(773) 656-3910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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