Individual
LATONYA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14216 TRISKETT RD, CLEVELAND, OH 44111-2303
(216) 924-8650
Mailing address
14216 TRISKETT RD, CLEVELAND, OH 44111-2303
(216) 924-8650
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400630580607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064801
—
OH
Enumeration date
05/21/2014
Last updated
05/21/2014
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