Individual
TAMIRA BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
782 E 249TH ST, EUCLID, OH 44123-2375
(216) 562-7887
Mailing address
782 E 249TH ST, EUCLID, OH 44123-2375
(216) 562-7887
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
OH
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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