MEDICARE: CECILA RASHON POINTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	115538	OH

General Provider Information

NPI Number	:	1932382918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILA RASHON POINTER

Provider Business Mailing Address
First Line	:	1932 HURSTON CT
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-1249
Country	:	US
Telephone Number	:	216-376-7445
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 HURSTON CT
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-1249
Country	:	US
Telephone Number	:	216-376-7445
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	12/19/2007

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