Individual
MS. TANEISHA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
10127 SOUTH BLVD, APT 3, CLEVELAND, OH 44117
(216) 255-1853
Mailing address
10127 SOUTH BLVD, APT 3, CLEVELAND, OH 44108-3473
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401678250814
OH
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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