Most Relevant Information
Provider Data
| NPI Number: | 1003680851 |
| Provider Name: | MICHELLE PEMPTON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | RJ810051 |
Most Important Dates
| Enumeration Date: | 11/13/2023 |
| Last Updated: | 11/13/2023 |
Provider Practice Location
3633 LYNNFIELD RD # DN
SHAKER HTS
OH
441225111
Practice Location Phone/Fax
| Phone: | 6232687664 |
| Fax: |
Provider Mailing Location
3633 LYNNFIELD RD # DN
SHAKER HTS
OH
441225111
Provider Mailing Phone/Fax
| Phone: | 6232687664 |
| Fax: |