Individual
DONNETTE GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 612-8484
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
189547
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.189547
OH
Other
Enumeration date
07/09/2024
Last updated
04/21/2026
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