Individual
DEVONDRA D MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 W 145TH ST, CLEVELAND, OH 44135-2874
(216) 396-6169
Mailing address
4636 W 145TH ST, CLEVELAND, OH 44135-2874
(216) 396-6169
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123617
—
OH
Enumeration date
03/27/2021
Last updated
03/27/2021
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