Individual
THADDEA K WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
9417 MANOR AVE, CLEVELAND, OH 44104-4725
(216) 645-0234
Mailing address
9417 MANOR AVE, CLEVELAND, OH 44104-4725
(216) 645-0234
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602691780823
OH
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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