Individual
BRITANY SHAVON FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12907 ROCKSIDE RD, CLEVELAND, OH 44125-5159
(216) 926-7038
Mailing address
12907 ROCKSIDE RD, CLEVELAND, OH 44125-5159
(216) 926-7038
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401514770513
OH
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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