Individual
RACHELLE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12120 BENHAM AVE # UP, CLEVELAND, OH 44105-1925
(216) 762-6022
Mailing address
12120 BENHAM AVE # UP, CLEVELAND, OH 44105-1925
(216) 762-6022
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401797191015
OH
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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