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Individual

DESZIRAE MONIQUE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14602 LAKE SHORE BLVD APT 2, CLEVELAND, OH 44110-1251
(216) 385-3407
Mailing address
11459 MAYFIELD RD STE 117, CLEVELAND, OH 44106-2363
(216) 385-3407

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OH

Other

Enumeration date
04/27/2021
Last updated
04/28/2021
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