Mrs Tiesha Sharease Debardelaben, LPN | |
1453 Westover Rd, Cleveland Heights, OH 44118-1341 | |
(216) 320-9662 | |
Not Available |
Full Name | Mrs Tiesha Sharease Debardelaben |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1453 Westover Rd, Cleveland Heights, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164647301 | NPI | - | NPPES |
2550190 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN.114862 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tiesha Sharease Debardelaben, LPN 1453 Westover Rd, Cleveland Heights, OH 44118-1341 Ph: (216) 320-9662 | Mrs Tiesha Sharease Debardelaben, LPN 1453 Westover Rd, Cleveland Heights, OH 44118-1341 Ph: (216) 320-9662 |
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