| Ms Benita Willetta Burch, LPN | |
|
1888 Burnette Ave, East Cleveland, OH 44112-2017 | |
| (216) 761-8796 | |
| Not Available |
| Full Name | Ms Benita Willetta Burch |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1888 Burnette Ave, East Cleveland, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891855607 | NPI | - | NPPES |
| 2242184 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN077778 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Benita Willetta Burch, LPN 1888 Burnette Ave., East Cleveland, OH 44112-2017 Ph: (216) 761-8796 | Ms Benita Willetta Burch, LPN 1888 Burnette Ave, East Cleveland, OH 44112-2017 Ph: (216) 761-8796 |
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