Individual
YASHEA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PS
Contact information
Practice address
1300 E 9TH ST STE 1210, CLEVELAND, OH 44114-1513
(216) 867-7930
Mailing address
3677 E 143RD ST, CLEVELAND, OH 44120-4804
(216) 867-7930
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006446
OH
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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