Most Relevant Information
Provider Data
NPI Number: | 1003350513 |
Provider Name: | TAMMY YOUNGBLOOD-TRENT RN |
Entity Type: | Individual |
Taxonomy Code: | 163WP0808X |
Specialty: | Registered Nurse |
License Number: | RN.339398 |
Most Important Dates
Enumeration Date: | 12/19/2016 |
Last Updated: | 12/19/2016 |
Provider Practice Location
2500 E 22ND ST
CLEVELAND
OH
441153204
Practice Location Phone/Fax
Phone: | 2169311400 |
Fax: |
Provider Mailing Location
2500 E 22ND ST
CLEVELAND
OH
441153204
Provider Mailing Phone/Fax
Phone: | 2169311400 |
Fax: |