Individual
KEISHA DESGOUTTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3579 ATHERSTONE RD, CLEVELAND HTS, OH 44121-1355
(754) 201-7180
Mailing address
3579 ATHERSTONE RD, CLEVELAND HTS, OH 44121-1355
(754) 201-7180
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
OH
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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