Individual
LOLITA GATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2150 GLENRIDGE RD, EUCLID, OH 44117-2428
(216) 526-9556
Mailing address
2150 GLENRIDGE RD, EUCLID, OH 44117-2428
(216) 526-9556
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
401468431212
OH
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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