Individual
JAQUITA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 GENTRY CIR W # CW, RICHMOND HTS, OH 44143-2869
(216) 906-8862
Mailing address
538 GENTRY CIR W # CW, RICHMOND HTS, OH 44143-2869
(216) 906-8862
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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