Individual
TIFFANY MONIQUE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CRESTLINE AVE, CLEVELAND, OH 44109-3081
(216) 334-0312
Mailing address
1300 CRESTLINE AVE APT 419, CLEVELAND, OH 44109-3064
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401666820714
OH
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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