Individual
ROBYN R IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1430 E 53RD ST, CLEVELAND, OH 44103-1327
(216) 450-7111
Mailing address
1430 E 53RD ST, CLEVELAND, OH 44103-1327
(216) 450-7111
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602362190621
OH
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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