Individual
CAMILLE KELLY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5556 BROADVIEW RD, 3509, PARMA, OH 44134-1634
(216) 624-2830
Mailing address
5556 BROADVIEW RD, 3509, PARMA, OH 44134-1634
(216) 624-2830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401025750110
OH
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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