Individual
SHIRLEY J SISTRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17325 EUCLID AVE STE 2049A, CLEVELAND, OH 44112-1247
(216) 303-1415
Mailing address
PO BOX 21087, SOUTH EUCLID, OH 44121-0087
(216) 233-7727
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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