Individual
JACQUELINE MAY GATES ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNA
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-3470
Mailing address
7068 MIDDLEBROOK BLVD, MIDDLEBURG HEIGHTS, OH 44130-2569
(121) 697-0758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020886
OH
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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