Individual
AMANI R KENNIBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4088 E 155TH ST, CLEVELAND, OH 44128-1917
(216) 808-0748
Mailing address
4088 E 155TH ST, CLEVELAND, OH 44128-1917
(216) 808-0748
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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