Individual
IESHA MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22031 IVAN AVE, EUCLID, OH 44123-3150
(216) 450-4944
Mailing address
22031 IVAN AVE, EUCLID, OH 44123-3150
(216) 387-7314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
159421
OH
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
08/05/2025
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