Individual
DONISHA MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11911 SOIKA AVE, CLEVELAND, OH 44120-3154
(216) 804-2549
Mailing address
11911 SOIKA AVE, CLEVELAND, OH 44120-3154
(216) 804-2549
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402063730418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
OH
Enumeration date
07/21/2022
Last updated
07/21/2022
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