Individual
TIERA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 W 37TH ST, CLEVELAND, OH 44109-2425
(216) 762-4941
Mailing address
3715 W 37TH ST, CLEVELAND, OH 44109-2425
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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