Individual
MS. KEISHA RENEE POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17204 WALDEN AVE, CLEVELAND, OH 44128-1548
(216) 965-2969
Mailing address
17204 WALDEN AVE, CLEVELAND, OH 44128-1548
(216) 965-2969
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401300550911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707879
—
OH
Enumeration date
09/23/2013
Last updated
09/23/2013
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