DIANNE LYNN HAVANCHAK

CLEVELAND, OH
NPI1568711018
Former NameDIANNE LYNN BOOMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  COA.13770-NP)
Enumeration Date2012-08-30
Last Update Date2012-08-30
Business Address
Mrs. DIANNE LYNN HAVANCHAK ACNP
9500 EUCLID AVE G5
CLEVELAND, OH 44195-0001
Phone number: 216-444-4050
Mailing Address
Mrs. DIANNE LYNN HAVANCHAK ACNP
9500 EUCLID AVE G5
CLEVELAND, OH 44195-0001
Phone number:
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