Individual
YVONNE DENISE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10309 AVON AVE, CLEVELAND, OH 44105-4206
(216) 703-3475
Mailing address
10309 AVON AVE, CLEVELAND, OH 44105-4206
(216) 703-3475
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RF632740
OH
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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