Individual
ROSETTA FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21200 MORRIS AVE, EUCLID, OH 44123-2924
(216) 209-6429
Mailing address
21200 MORRIS AVE, EUCLID, OH 44123
(216) 209-6429
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401777080715
OH
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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