Individual
DIANA CORINA PETRICELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 LEDGEWOOD LN., AVON, OH 44011
(440) 476-0729
Mailing address
1440 LEDGEWOOD LN, AVON, OH 44011-1088
(440) 476-0729
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2553642
INDEPENDENT PROVIDER
OH
Enumeration date
04/20/2007
Last updated
07/08/2007
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