Individual
EBONY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 E 140TH ST, CLEVELAND, OH 44120-3233
(216) 703-0034
Mailing address
3206 E 140TH ST, CLEVELAND, OH 44120-3233
(216) 339-6274
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
3116HHN
OH
Other
Enumeration date
06/27/2017
Last updated
09/18/2024
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