Individual
ZAKIYAH SHADIYE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6091 W 54TH ST, CLEVELAND, OH 44129-4249
(216) 338-6707
Mailing address
12900 SNOW RD, PARMA, OH 44130-1012
(216) 299-3191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
OH
126800000X
Dental Assistant
12800000X
OH
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
133VN1501X
OH
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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