Individual
PATRICIA TANEICE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11112 AVON AVE, CLEVELAND, OH 44105-4223
(216) 609-5677
Mailing address
4812 LEE RD APT 107, CLEVELAND, OH 44128-3864
(216) 609-5677
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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