Individual
MRS. EBONIEMARIE ALLENE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4019 E 121ST ST, CLEVELAND, OH 44105-4552
(216) 246-4881
Mailing address
4019 E 121ST ST, CLEVELAND, OH 44105-4552
(216) 246-4881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.543471
OH
164W00000X
Licensed Practical Nurse
PN. 126718
OH
Other
Enumeration date
03/10/2008
Last updated
05/23/2025
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