Individual
ANTOLETHIA GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 E 135TH ST, EAST CLEVELAND, OH 44112-2413
(216) 309-9934
Mailing address
1249 E 135TH ST, EAST CLEVELAND, OH 44112-2413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401575801013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117121
—
OH
Enumeration date
02/21/2020
Last updated
02/21/2020
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