Individual
YAYRA TAMAKLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
4285 KENT RD, STOW, OH 44224-4355
(330) 686-7100
Mailing address
1840 RHODES RD, APT 355, KENT, OH 44240-4252
(360) 521-5259
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
324764061015
OH
376K00000X
Nurse's Aide
NC60305230
WA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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