Individual
ABBY GURTRUDE CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3024 WEST 103RD, CLEVELAND, OH 44111-1838
(216) 326-0054
Mailing address
3024 W 103RD ST, CLEVELAND, OH 44111-1838
(216) 326-0054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN133945
OH
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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