SAMUEL PORTIS

CLEVELAND, OH
NPI1548498637
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN . 098528)
Enumeration Date2009-06-26
Last Update Date2009-06-26
Business Address
Mr. SAMUEL PORTIS LPN
3449 E 108TH ST
CLEVELAND, OH 44104-5647
Phone number: 216-374-8646
Mailing Address
Mr. SAMUEL PORTIS LPN
3449 E 108TH ST
CLEVELAND, OH 44104-5647
Phone number: 216-374-8646