Individual
EBONY CHAMBLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11809 HARVARD AVE, CLEVELAND, OH 44105-5439
(216) 609-7725
Mailing address
11809 HARVARD AVE, CLEVELAND, OH 44105-5439
(216) 609-7725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
144531
OH
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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