Individual
MARIEL MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19612 CHEROKEE AVE, CLEVELAND, OH 44119-2822
(216) 905-6896
Mailing address
19612 CHEROKEE AVE, CLEVELAND, OH 44119-2822
(216) 905-6896
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89386700
INDEPENDENT PROVIDER
OH
Enumeration date
04/26/2022
Last updated
09/04/2025
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