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Individual

CRYSTAL LEVERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1057 E 147TH ST, CLEVELAND, OH 44110-3318
(216) 283-4037
Mailing address
1057 E 147TH ST, CLEVELAND, OH 44110-3318

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0114655
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114655
OH
Enumeration date
07/09/2015
Last updated
07/09/2015
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