Individual
MISS GINA MAUREEN CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, LPN
Contact information
Practice address
417 BALLYMORE PASS, WOODSTOCK, GA 30189-7418
(559) 760-8641
Mailing address
417 BALLYMORE PASS, WOODSTOCK, GA 30189-7418
(559) 760-8641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
LPN090192
GA
164X00000X
Licensed Vocational Nurse
VN237459
CA
Other
Enumeration date
06/17/2009
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us