Individual
TATYANA KLIGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 581-0500
Mailing address
14569 RUSSELL LN, NOVELTY, OH 44072-9528
(440) 338-7107
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.18889-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.18889-NP
OH
Other
Enumeration date
03/14/2016
Last updated
02/20/2022
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