Individual
ANTHONY PHINNESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2490 LEE BLVD, CLEVELAND HEIGHTS, OH 44118
(216) 600-5194
Mailing address
4404 E 154TH ST, CLEVELAND, OH 44128-2909
(330) 304-6704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
07/04/2018
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