Individual
MS. TIERRA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-CHW
Contact information
Practice address
3 SEVERANCE CIRCLE #18618, CLEVELAND HEIGHTS, OH 44118
(216) 466-7871
Mailing address
3 SEVERANCE CIRCLE #18618, CLEVELAND HEIGHTS, OH 44118
(216) 466-7871
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
001312
OH
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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