Individual
ILLIANA ANNETTE BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 SUPERIOR AVE E, CLEVELAND, OH 44114-2135
(216) 509-3480
(866) 608-0504
Mailing address
497 WALMAR RD, BAY VILLAGE, OH 44140-1521
(803) 318-4324
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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