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Individual

AQUILA PEACOCK-COWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4870 SOM CENTER RD, MORELAND HILLS, OH 44022-2326
(216) 496-3489
Mailing address
4870 SOM CENTER RD, MORELAND HILLS, OH 44022-2326
(216) 496-3489

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108061
OH
Enumeration date
12/28/2020
Last updated
12/28/2020
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