Individual
JOSUE KABONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3318 W 110TH ST, CLEVELAND, OH 44111-2858
(216) 577-4945
Mailing address
3318 W 110TH ST, CLEVELAND, OH 44111-2858
(216) 577-4945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN467512
OH
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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