Individual
BENICKWA MONIQUE YARBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10626 THRUSH AVE, CLEVELAND, OH 44111-4830
(216) 762-4182
Mailing address
10626 THRUSH AVE, CLEVELAND, OH 44111-4830
(216) 762-4182
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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