Individual
MISS KAWANNA SHANTA ROYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 E 88TH ST # A203, GARFIELD HEIGHTS, OH 44125-2434
(216) 471-7363
Mailing address
5150 E 88TH ST # A203, GARFIELD HEIGHTS, OH 44125-2434
(216) 471-7363
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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