Individual
ANTIONETTE L HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 E 93RD ST, CLEVELAND, OH 44108-2132
(216) 761-1741
Mailing address
8003 LINWOOD AVE, CLEVELAND, OH 44103-3441
(216) 390-0275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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