Individual
KATHLEEN MARIE ROSE NGANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
34826 LAKE SHORE BLVD APT C, EASTLAKE, OH 44095-2024
(216) 389-8448
Mailing address
34826 LAKE SHORE BLVD APT C, EASTLAKE, OH 44095-2024
(216) 389-8448
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
03/18/2024
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