Individual
TRACY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 ALHAMBRA RD, CLEVELAND, OH 44110-3108
(216) 732-1413
Mailing address
820 ALHAMBRA RD, CLEVELAND, OH 44110-3108
(216) 732-1413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400000240701
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229196
—
OH
01
—
400000240701
STATE TESTED NURSING ASSIST
OH
Enumeration date
02/20/2018
Last updated
06/16/2018
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