Individual
TREVONTAE JAMES COWANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6505 MARSOL RD APT 608, MAYFIELD HEIGHTS, OH 44124-3511
(216) 825-0071
Mailing address
6505 MARSOL RD APT 608, CLEVELAND, OH 44124-3511
(216) 825-0071
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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