Individual
GAJUANA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13017 HAROLD AVE, CLEVELAND, OH 44135-4801
(216) 501-8868
Mailing address
13017 HAROLD AVE, CLEVELAND, OH 44135-4801
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010266525490
—
OH
Enumeration date
07/11/2019
Last updated
07/11/2019
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