Individual
TAMEIKA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10557 REMINGTON AVE, CLEVELAND, OH 44108-1320
(216) 972-7604
Mailing address
10557 REMINGTON AVE, CLEVELAND, OH 44108-1320
(216) 972-7604
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
493688990
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162932
—
OH
Enumeration date
12/05/2016
Last updated
12/05/2016
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