Individual
CARLA WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34350 RIDGE RD # D-11, WILLOUGHBY, OH 44094-3088
(216) 571-7919
Mailing address
34350 RIDGE RD # D-11, WILLOUGHBY, OH 44094-3088
(216) 571-7919
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
186063
OH
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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