RACEHLLE A WAGGONER

PARMA, OH
NPI1982238903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  151031.MEDS-IV)
Enumeration Date2020-02-28
Last Update Date2020-02-28
Business Address
RACEHLLE A WAGGONER LPN
6753 STATE RD
PARMA, OH 44134-4517
Phone number: 440-843-5522
Mailing Address
RACEHLLE A WAGGONER LPN
6753 STATE RD
PARMA, OH 44134-4517
Phone number: