Individual
KEYSHA MASON-OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E 185TH ST, CLEVELAND, OH 44119-1767
(216) 675-0007
(216) 862-3100
Mailing address
650 E 185TH ST, CLEVELAND, OH 44119-1767
(216) 675-0007
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
377826151298
OH
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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