Individual
MS. LATANYA DENISE IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12317 IMPERIAL AVE # UP, CLEVELAND, OH 44120-3118
(216) 394-1862
Mailing address
12317 IMPERIAL AVE # UP, CLEVELAND, OH 44120-3118
(216) 394-1862
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400926910609
OH
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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