Organization
MIRONDA CLEMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRONDA A. CLEMENTS (LICENSED PRACTICAL NURSE)
(216) 780-6795
Entity
Organization
Contact information
Practice address
22709 LAKE SHORE BLVD, 246C, EUCLID, OH 44123-1359
(216) 780-6795
Mailing address
22709 LAKE SHORE BLVD, 246C, EUCLID, OH 44123-1359
(216) 780-6795
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN-126116 IV
OH
Other
Enumeration date
11/27/2007
Last updated
12/09/2007
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