Individual
JULIANN SEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 536-4876
(216) 694-4162
Mailing address
6748 MALLARD DR, BRECKSVILLE, OH 44141-2844
(216) 536-4876
(216) 694-4162
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN.203836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098359
—
OH
Enumeration date
05/10/2016
Last updated
05/10/2016
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