Individual
MRS. FATIMA GRACE KABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 E 105TH ST, CLEVELAND, OH 44105-2410
(216) 672-8251
Mailing address
3650 E 105TH ST, CLEVELAND, OH 44105-2410
(216) 672-8251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
189946
OH
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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