Individual
BIANCA PHILMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17216 STOCKBRIDGE AVE, CLEVELAND, OH 44128-1540
(216) 868-5800
Mailing address
17216 STOCKBRIDGE AVE, CLEVELAND, OH 44128-1540
(216) 868-5800
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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