Individual
LATISHA BLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3393 KILDARE RD, CLEVELAND HTS, OH 44118-2962
(216) 474-6730
Mailing address
3393 KILDARE RD, CLEVELAND HTS, OH 44118-2962
(216) 474-6730
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400027850901
OH
Other
Enumeration date
06/30/2022
Last updated
04/19/2024
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