Individual
ANTWAINE MAURICE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24400 RUSSELL AVE, EUCLID, OH 44123-2313
(216) 849-1860
Mailing address
24400 RUSSELL AVE, EUCLID, OH 44123-2313
(216) 849-1860
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
09/10/2019
Last updated
11/27/2023
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