Individual
IYISHA GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
324 E 244TH ST, EUCLID, OH 44123-1435
(216) 801-3521
Mailing address
435 E MAIN ST APT 440, MESA, AZ 85203-2205
(216) 801-3521
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN.413761
OH
Other
Enumeration date
04/16/2020
Last updated
07/28/2023
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