Individual
DONTAIS WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL ASSISTANT
Contact information
Practice address
890 ELOISE DR, CLEVELAND HEIGHTS, OH 44112-2311
(216) 509-6473
Mailing address
890 ELOISE DR, CLEVELAND HEIGHTS, OH 44112-2311
(216) 509-6473
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
253Z00000X
In Home Supportive Care Agency
—
OH
374U00000X
Home Health Aide
—
OH
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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