Individual
QUIANA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3696 E 110TH ST, CLEVELAND, OH 44105-2468
(216) 820-7005
Mailing address
3696 E 110TH ST, CLEVELAND, OH 44105-2468
(216) 820-7005
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401603330114
OH
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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