Individual
AUNTASHAE NIZA TATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ORCHARD AVE, NILES, OH 44446-5242
(330) 978-5229
Mailing address
130 ORCHARD AVE, NILES, OH 44446-5242
(330) 978-5229
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402088060718
OH
Other
Enumeration date
03/16/2022
Last updated
10/07/2025
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