Individual
EDONTRE MALIK DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5722 KETCHAM AVE, ASHTABULA, OH 44004-9779
(440) 813-9675
Mailing address
5722 KETCHAM AVE, ASHTABULA, OH 44004-9779
(440) 813-9675
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us