Individual
CALISHA M LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4729 E 177TH ST, CLEVELAND, OH 44128-3939
(330) 701-9849
Mailing address
4729 E 177TH ST, CLEVELAND, OH 44128-3939
(330) 701-9849
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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