Individual
JANINE EMMA HALLBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3676 INDEPENDENCE RD, CLEVELAND, OH 44105-7224
(216) 978-3718
Mailing address
3676 INDEPENDENCE RD, CLEVELAND, OH 44105-7224
(216) 978-3718
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116196
—
OH
Enumeration date
04/27/2015
Last updated
04/27/2015
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