Individual
CHANTAI MATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 E 40TH ST APT A, CLEVELAND, OH 44104-1103
(216) 703-4019
Mailing address
2503 E 40TH ST APT A, CLEVELAND, OH 44104-1103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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