Individual
MISS JILL HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1411 W 110TH ST, UP, CLEVELAND, OH 44102-2403
(216) 221-6653
Mailing address
1411 W 110TH ST, UP, CLEVELAND, OH 44102-2403
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN085178
OH
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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