Individual
PHYLLIS GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13807 UNION AVE, CLEVELAND, OH 44120-4520
(216) 482-0152
Mailing address
13807 UNION AVE, CLEVELAND, OH 44120-4520
(216) 482-0152
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401761070615
OH
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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