Individual
BOBBIE J SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
13302 CAINE AVE, CLEVELAND, OH 44105-6330
(216) 882-0518
Mailing address
13302 CAINE AVE, CLEVELAND, OH 44105-6330
(216) 882-0518
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3651918
OH
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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