Individual
DAESHA ALORA CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 LORETTA CT, LORAIN, OH 44052-4468
(440) 989-6935
Mailing address
2909 LORETTA CT, LORAIN, OH 44052-4468
(440) 989-6935
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
HGF1098
OH
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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