Individual
MS. GAYLE ANN MOORE-LISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2393
Mailing address
4973 DUBLIN DR, NORTH ROYALTON, OH 44133-2153
(440) 237-4919
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
RN162336
OH
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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