Individual
MS. ANTONESE RENEE SPATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3176 AUDUBON BOULEVARD, CLEVELAND, OH 44104
(216) 210-7205
Mailing address
3176 AUDUBON BLVD, CLEVELAND, OH 44104-5364
(216) 210-7205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN122008
OH
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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