Individual
MRS. TANYA E LIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18400 HAZELWOOD AVE, MAPLE HEIGHTS, OH 44137-3535
(216) 315-7046
Mailing address
18400 HAZELWOOD AVE, MAPLE HEIGHTS, OH 44137-3535
(216) 315-7046
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
37782641298
OH
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831487
—
OH
Enumeration date
11/19/2020
Last updated
11/19/2020
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