Individual
TRINA A KINNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11811 SHAKER BLVD STE 123, CLEVELAND, OH 44120-1927
(216) 242-2990
Mailing address
11811 SHAKER BLVD STE 123, CLEVELAND, OH 44120-1927
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
36D2121863
OH
Other
Enumeration date
03/09/2018
Last updated
10/19/2018
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