Individual
MRS. GINA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14205 LIBERTY AVE, CLEVELAND, OH 44135-1461
(216) 246-4766
Mailing address
14205 LIBERTY AVE, CLEVELAND, OH 44135-1461
(216) 246-4766
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PN.097221
OH
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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