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Individual

ASIA GERMANY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2623 MARVIN AVE, CLEVELAND, OH 44109-2100
(216) 526-3604
Mailing address
2623 MARVIN AVE, CLEVELAND, OH 44109-2100
(216) 526-3604

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
174200000X
Meals Provider
374U00000X
Home Health Aide
376J00000X
Homemaker
Primary

Other

Enumeration date
12/04/2023
Last updated
12/05/2023
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