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Individual

KANELA ROMESA BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 983-4981
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN.328575/ NP 10033
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2959651
OH
Enumeration date
06/20/2008
Last updated
03/02/2011
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