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Individual

MS. ANDREA BIMBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13005 WOODSIDE AVE, CLEVELAND, OH 44108-2535
(216) 358-4347
Mailing address
13005 WOODSIDE AVE, CLEVELAND, OH 44108-2535

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OH
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0117090
OH
Enumeration date
12/02/2019
Last updated
11/30/2022
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