Individual
MARVIENNE SHAWNTE TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
686 EDGEWOOD RD, RICHMOND HEIGHTS, OH 44143-2912
(216) 235-2922
Mailing address
686 EDGEWOOD RD, RICHMOND HEIGHTS, OH 44143-2912
(216) 235-2922
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.359014
OH
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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