Provider Demographics
NPI:1568232593
Name:KLEMENS, ROCHELLE CATHERINE
Entity Type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:CATHERINE
Last Name:KLEMENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5955 EASTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-1468
Mailing Address - Country:US
Mailing Address - Phone:440-308-7378
Mailing Address - Fax:
Practice Address - Street 1:5955 EASTVIEW AVE
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-1468
Practice Address - Country:US
Practice Address - Phone:440-308-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker