Individual
CHIVON SHANTE WOLFEROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15329 MAPLE PARK DR, MAPLE HEIGHTS, OH 44137-4216
(440) 381-4145
Mailing address
9815 ELWELL AVE, CLEVELAND, OH 44104-4619
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
IV-129401
OH
Other
Enumeration date
06/04/2010
Last updated
09/11/2021
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