Individual
EBONY DEGRAFFENRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5683 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3647
(216) 534-9029
Mailing address
5683 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3647
(216) 534-9029
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.124715.MEDS
OH
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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