Individual
TYASHA LANAE SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 BROADVIEW RD APT 1, CLEVELAND, OH 44109-5719
(216) 835-5608
Mailing address
4921 BROADVIEW RD APT 1, CLEVELAND, OH 44109-5719
(216) 835-5608
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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