Individual
SHONTA STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9218 PARMELEE AVE, CLEVELAND, OH 44108-2844
(216) 609-4020
Mailing address
9218 PARMELEE AVE, CLEVELAND, OH 44108-2844
(216) 609-4020
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
401633990414
OH
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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