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Individual

TENISHA N/A GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4128 COLUMBIA SQ APT 202, NORTH OLMSTED, OH 44070-2036
(213) 551-1822
Mailing address
4128 COLUMBIA SQ APT 202, NORTH OLMSTED, OH 44070-2036
(213) 551-1822

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400078860202
OH

Other

Enumeration date
03/07/2024
Last updated
03/07/2024
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