Individual
QUIVADISE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2592 DILLARD ST, CLEVELAND, OH 44115-3737
(216) 331-5991
Mailing address
2592 DILLARD ST, CLEVELAND, OH 44115-3737
(216) 331-5991
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
401592001113
OH
374U00000X
Home Health Aide
401592001113
OH
376K00000X
Nurse's Aide
Primary
401592001113
OH
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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