Individual
MICHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
5524 DELORA AVE, CLEVELAND, OH 44144-4133
(216) 906-5309
Mailing address
5524 DELORA AVE, CLEVELAND, OH 44144-4133
(216) 906-5309
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
379279850900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195511
—
OH
01
—
379279850900
NURSE AIDE PROGRAM
OH
Enumeration date
10/11/2018
Last updated
10/11/2018
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