Individual
MICHELLE TEAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13722 S PARKWAY DR, GARFIELD HTS, OH 44105-6840
(216) 526-7626
Mailing address
13722 S PARKWAY DR, GARFIELD HTS, OH 44105-6840
(216) 526-7626
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400478600405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158201
OHIO HOME CARE PROGRAM
OH
Enumeration date
07/18/2014
Last updated
07/18/2014
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