Individual
SHENITA SHONTA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3554 E 81ST ST, CLEVELAND, OH 44105-1526
(216) 703-2623
Mailing address
3554 E 81ST ST, CLEVELAND, OH 44105-1526
(216) 703-2623
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400781850708
OH
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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