Individual
DIANA ROSE ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3516 W 118TH ST, CLEVELAND, OH 44111-3528
(216) 526-2313
Mailing address
3516 W 118TH ST, CLEVELAND, OH 44111-3528
(216) 526-2313
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103494047699
—
OH
Enumeration date
11/23/2020
Last updated
11/23/2020
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