Individual
SHAVONDA MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13720 DEISE AVE, CLEVELAND, OH 44110-2136
(216) 269-4762
Mailing address
13720 DEISE AVE, CLEVELAND, OH 44110-2136
(216) 269-4762
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400267370703
OH
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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