Individual
MR. MELVIN LOUIS TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3439 E 121ST ST, CLEVELAND, OH 44120-4301
(216) 502-0140
Mailing address
3439 E 121ST ST, CLEVELAND, OH 44120-4301
(216) 502-0140
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
147157
OH
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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