Individual
CORETTA FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3251 W 61ST ST, CLEVELAND, OH 44102-5613
(216) 762-3239
Mailing address
3251 W 61ST ST, CLEVELAND, OH 44102-5613
(216) 762-3239
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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