Individual
JAQWAN T. CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OCPRS
Contact information
Practice address
1176 WARREN RD APT 11, LAKEWOOD, OH 44107-2590
(216) 776-8178
Mailing address
1176 WARREN RD APT 11, LAKEWOOD, OH 44107-2590
(216) 776-8178
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006611
OH
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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