CARLEEN JEAN DESTRO

LORAIN, OH
NPI1629311493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN119011-M-IV)
Enumeration Date2013-03-30
Last Update Date2013-03-30
Business Address
-- CARLEEN JEAN DESTRO LPN
635 COOPER FOSTER PARK RD W
LORAIN, OH 44053-3730
Phone number: 440-714-3082
Mailing Address
-- CARLEEN JEAN DESTRO LPN
635 COOPER FOSTER PARK RD W
LORAIN, OH 44053-3730
Phone number: 440-714-3082