Individual
DEJUNIQUE SHAVONNE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14011 SAVANNAH AVE, CLEVELAND, OH 44112-3242
(216) 258-7222
Mailing address
14011 SAVANNAH AVE, CLEVELAND, OH 44112-3242
(216) 258-7222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
165621
OH
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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