Individual
MRS. CHANTRELL LATERISE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
627 E 99TH ST, CLEVELAND, OH 44108-1213
(216) 317-9777
Mailing address
627 E 99TH ST, CLEVELAND, OH 44108-1213
(216) 317-9777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
162815
OH
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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