Individual
NOLAN DEWITT CHILDRESS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5197 CATHERINE ST, MAPLE HEIGHTS, OH 44137-1403
(216) 538-9010
Mailing address
5197 CATHERINE ST, MAPLE HEIGHTS, OH 44137-1403
(216) 538-9010
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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