Individual
VERONDA LOREEN BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E 156TH ST APT 1536, CLEVELAND, OH 44110-1106
(216) 246-9077
Mailing address
123 E 156TH ST APT 1536, CLEVELAND, OH 44110-1106
(216) 246-9077
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
08/09/2023
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