Individual
KAWANYA D EATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
4652 W 156TH ST, CLEVELAND, OH 44135-2765
(216) 600-6616
Mailing address
4652 W 156TH ST, CLEVELAND, OH 44135-2765
(216) 600-6616
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
401189310111
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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