Individual
KATHRYN ZERESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4422 W 10TH ST, CLEVELAND, OH 44109-3602
(216) 459-2079
Mailing address
4422 W 10TH ST, CLEVELAND, OH 44109-3602
(216) 459-2079
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2863058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2863058
OHIO MEDICAID LEGACY #
OH
Enumeration date
05/27/2014
Last updated
05/27/2014
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