Individual
MRS. ANGELI Y LOGAN-HORHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16010 DELREY AVE, CLEVELAND, OH 44128-1364
(216) 799-2630
Mailing address
16010 DELREY AVE, CLEVELAND, OH 44128-1364
(216) 752-1171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN116888 MEDS
OH
Other
Enumeration date
06/22/2007
Last updated
11/06/2012
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