Individual
ALEXIS KIMYASA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6506 HAMPSTEAD AVE, CLEVELAND, OH 44129-3731
(216) 255-1692
Mailing address
6506 HAMPSTEAD AVE, CLEVELAND, OH 44129-3731
(216) 255-1692
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401799901015
OH
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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