Individual
EBONY N SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
10317 AVON AVE, CLEVELAND, OH 44105-4206
(216) 297-6543
Mailing address
10317 AVON AVE, CLEVELAND, OH 44105-4206
(216) 297-6543
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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