Individual
BONNIE OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20611 EUCLID AVE, EUCLID, OH 44117-1521
(216) 859-2727
Mailing address
34475 STONE CT APT 11, WILLOUGHBY HILLS, OH 44094-2984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.521623
OH
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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