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Individual

MIKA M FOREST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9303 PARK HEIGHTS AVE, GARFIELD HEIGHTS, OH 44125-2342
(216) 609-4178
Mailing address
9303 PARK HEIGHTS AVE, GARFIELD HEIGHTS, OH 44125-2342
(216) 609-4178

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000000000
OH
Enumeration date
03/16/2022
Last updated
03/16/2022
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