MRS. Tiesha Sharease Debardelaben, LPN
NPI #1164647301 in Cleveland Heights, Ohio
Provider Information
- NPI Number
- 1164647301
- Entity Type
- Individual
- Name
- MRS. Tiesha Sharease Debardelaben, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 14, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1453 WESTOVER RD
- State
- Ohio
- ZIP Code
- 44118-1341
- Phone
- (216) 320-9662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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