Most Relevant Information
Provider Data
| NPI Number: | 1003403882 |
| Provider Name: | TIEARA RENEA DOSS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.176583.MEDS.IV |
Most Important Dates
| Enumeration Date: | 12/28/2020 |
| Last Updated: | 01/02/2021 |
Provider Practice Location
5676 BROADVIEW RD APT 530
PARMA
OH
441341642
Practice Location Phone/Fax
| Phone: | 1440862144 |
| Fax: |
Provider Mailing Location
5676 BROADVIEW RD APT 530
PARMA
OH
441341642
Provider Mailing Phone/Fax
| Phone: | 4408621447 |
| Fax: |