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Individual

MRS. DELORIS JANE MAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSING AIDE

Contact information

Practice address
6177 LAKE RD, MENTOR, OH 44060-3109
(440) 257-2674
Mailing address
6177 LAKE RD, MENTOR, OH 44060-3109
(440) 257-2674

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400222360303
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2385931
OH
Enumeration date
03/01/2007
Last updated
06/04/2014
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