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Organization

ESSENTIAL WOMAN HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TENIKA WALL (CEO)
(216) 571-1919
Entity
Organization

Contact information

Practice address
17325 EUCLID AVE STE 3146, CLEVELAND, OH 44112-1256
(216) 571-1919
Mailing address
17325 EUCLID AVE STE 3146, CLEVELAND, OH 44112-1256
(216) 571-1919

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36D2211257
CLIA
OH
Enumeration date
02/04/2021
Last updated
01/31/2022
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