Individual
MISS IZADI ADORA OSULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2622 E 126TH ST, CLEVELAND, OH 44120-1424
(216) 418-4796
Mailing address
2622 E 126TH ST, CLEVELAND, OH 44120-1424
(216) 418-4796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.184833.MEDS-IV
OH
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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