Individual
CHRISTIAN LANIECE TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2902 CEDAR AVE APT 37, CLEVELAND, OH 44115-2983
(216) 246-9103
Mailing address
2902 CEDAR AVE APT 37, CLEVELAND, OH 44115-2983
(216) 246-9103
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401865920616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401865920616
STNA LICENSE
OH
Enumeration date
01/25/2018
Last updated
01/25/2018
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