Individual
JIAYI TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-0627
Mailing address
20231 COLLEEN CT, STRONGSVILLE, OH 44149-0932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005484RX
OH
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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