Individual
QUANTINA SHERVON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
12909 REVERE AVE, CLEVELAND, OH 44105-2961
(216) 466-3428
Mailing address
12909 REVERE AVE, CLEVELAND, OH 44105-2961
(216) 466-3428
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
.401726780215
OH
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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