Individual
CERISSA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1922 CLARION AVE, CINCINNATI, OH 45207-1206
(513) 254-4873
Mailing address
1922 CLARION AVE, CINCINNATI, OH 45207-1206
(513) 254-4873
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
379089370700
OH
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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