Individual
ANNALISCIA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERSONAL CARE AIDE
Contact information
Practice address
3239 E 57TH ST, CLEVELAND, OH 44127-1303
(216) 255-0422
Mailing address
3239 E 57TH ST, CLEVELAND, OH 44127-1303
(216) 255-0422
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0194648
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194648
—
OH
Enumeration date
08/19/2019
Last updated
12/06/2022
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