Individual
TEEYANA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
14612 PURITAS AVE APT 102, CLEVELAND, OH 44135-2860
(216) 512-5777
Mailing address
14612 PURITAS AVE APT 102, CLEVELAND, OH 44135-2860
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
601714060322
OH
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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