ANDREA STOUT

LORAIN, OH
NPI1225468648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  154633)
Enumeration Date2013-11-21
Last Update Date2013-11-21
Business Address
-- ANDREA STOUT
1641 ROOT RD
LORAIN, OH 44052-2857
Phone number: 440-506-0817
Mailing Address
-- ANDREA STOUT
1641 ROOT RD
LORAIN, OH 44052-2857
Phone number: