Individual
BOBBI GAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2148
(216) 750-2600
Mailing address
4700 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2148
(216) 750-2600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
087606
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
07/07/2020
Last updated
07/07/2020
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