Individual
JABREEL M CHISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27600 CHARDON RD APT 867, WILLOUGHBY HILLS, OH 44092-2781
(216) 773-1347
Mailing address
27600 CHARDON RD APT 867, WILLOUGHBY HILLS, OH 44092-2781
(216) 773-1347
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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