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Organization
PLUMTREE INC
Active
Organization
PLUMTREE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH ARETHA CHAZA-NDLOVU NP (CEO)
(440) 709-4012
Entity
Organization
Contact information
Practice address
4994 NAN LINN DR, RICHMOND HEIGHTS, OH 44143
(440) 709-4012
(216) 674-4973
Mailing address
4994 NAN LINN DR, RICHMOND HEIGHTS, OH 44143
(440) 709-4012
(216) 674-4973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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