Individual
CHANTEL EBONY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4246 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44105-6201
(216) 450-9101
Mailing address
4246 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44105-6201
(216) 450-9101
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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