Individual
ERICA PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
18075 WESTON RD, CLEVELAND, OH 44121
(216) 534-5695
Mailing address
18075 WESTON RD, CLEVELAND, OH 44121
(216) 534-5695
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400821431008
OH
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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