Individual
ANDREA R OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 PASNOW AVE, CLEVELAND, OH 44119-1475
(216) 224-6246
Mailing address
PO BOX 10863, CLEVELAND, OH 44110-0863
(216) 224-6246
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1804104
—
OH
05
—
1831384
—
OH
Enumeration date
02/25/2020
Last updated
02/25/2020
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