| NPI | 1568690964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN ROGERS Managing Member 440-666-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA09982-NP) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2011-03-08 |