Individual
MISS LATOYA ANDREA STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 E 128TH ST # UP, CLEVELAND, OH 44120-2667
(216) 324-4567
Mailing address
2929 E 128TH ST # UP, CLEVELAND, OH 44120-2667
(216) 324-4567
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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