Individual
INDIA MARBUERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8109 KORMAN AVE, CLEVELAND, OH 44103-2139
(216) 965-5510
Mailing address
8109 KORMAN AVE, CLEVELAND, OH 44103-2139
(216) 965-5510
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400624160507
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2744954
—
OH
Enumeration date
06/13/2014
Last updated
06/13/2014
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