Individual
ELICE SHAUNTEE TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15320 PARKGROVE AVE, CLEVELAND, OH 44110-1308
(614) 815-5052
Mailing address
15320 PARKGROVE AVE, CLEVELAND, OH 44110-1308
(614) 815-5052
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RK960571
OH
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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