Individual
TASHIA FOWLKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 E 122ND ST, CLEVELAND, OH 44120-1442
(216) 609-9527
Mailing address
2645 E 122ND ST, CLEVELAND, OH 44120-1442
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400360060504
OH
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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