Individual
ANTWANIESHA M WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6397 KINGSDALE BLVD APT 12, PARMA HEIGHTS, OH 44130-3960
(216) 317-2902
Mailing address
6397 KINGSDALE BLVD APT 12, PARMA HEIGHTS, OH 44130-3960
(216) 317-2902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
04/03/2020
Last updated
06/15/2021
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