Individual provider · NPI-1

Lentrail Abston

Case Manager/Care Coordinator · Cleveland, OH

NPI number1396583290
StatusActive
Last updated in NPPESJul 16, 2024

Details

NPI
1396583290
Entity type
Individual (NPI-1)
Name
Lentrail Abston
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 16, 2024
Certification date
Jul 16, 2024
Last updated
Jul 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Phone 216-431-4600

Mailing address

111 E 204th St
Euclid, OH 44123-1048

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