Individual
DYMONDE CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW1-5647
Contact information
Practice address
800 N RAINBOW BLVD STE 165, LAS VEGAS, NV 89107-1189
(702) 213-0007
Mailing address
3100 44TH AVE S, GRAND FORKS, ND 58201-3640
(909) 238-7077
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-5647
NV
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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