Individual
MR. DONTAIVEAN ESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14014 BALDWIN AVE, EAST CLEVELAND, OH 44112-2548
(216) 303-1195
Mailing address
14014 BALDWIN AVE, EAST CLEVELAND, OH 44112-2548
(216) 303-1195
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0202272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202272
—
OH
Enumeration date
03/23/2017
Last updated
03/23/2017
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