Individual
MISS KIMYATTA LETTI CAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
10402 WAY AVE, CLEVELAND, OH 44105-2765
(216) 253-7689
Mailing address
10402 WAY AVENUE, CLEVELAND, OH 44105
(216) 253-7689
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376101991296
OH
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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