Individual
TIARA HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2357 E 61ST ST, CLEVELAND, OH 44104-1701
(216) 358-4739
Mailing address
2357 E 61ST ST, CLEVELAND, OH 44104-1701
(216) 358-4739
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295266
—
OH
Enumeration date
02/03/2019
Last updated
02/03/2019
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