Individual
MS. TANIKA SAMONE LATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
644 E 126TH ST, CLEVELAND, OH 44108-2438
(216) 255-1745
Mailing address
644 E 126TH ST, CLEVELAND, OH 44108-2438
(216) 255-1745
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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