LILLIE RAYNICE QUARLES

MASON, OH
NPI1083382469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  0028788)
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
LILLIE RAYNICE QUARLES
5386 COX SMITH RD STE A
MASON, OH 45040-6803
Phone number: 513-972-5120
Mailing Address
LILLIE RAYNICE QUARLES
LIFESTANCE 5386 COX-SMITH RD SUITE A MASON 45040
MASON, OH 45040-2242
Phone number: 513-972-5120