Individual
CARLISSA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 E 221ST ST, EUCLID, OH 44117-1508
(216) 293-0266
Mailing address
1575 E 221ST ST, EUCLID, OH 44117-1508
(216) 293-0266
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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