Individual
MS. CHANNILLE GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24085 TIMBERLANE ROAD, WARRENSVILLE, OH 44128
(216) 533-5927
Mailing address
24085 TIMBERLANE ROAD, WARRENSVILLE, OH 44128
(216) 533-5927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
128092
OH
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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