Individual
JANIQUA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3662 E 143RD ST, CLEVELAND, OH 44120-4805
(216) 482-9285
Mailing address
3662 E 143RD ST, CLEVELAND, OH 44120-4805
(216) 482-9285
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
180823
OH
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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