Individual
JALISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 E 59TH ST, CLEVELAND, OH 44103-2538
(216) 205-7708
Mailing address
1432 E 59TH ST, CLEVELAND, OH 44103-2538
(216) 205-7708
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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