Individual
ANISSA RAYELLE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 STONEHAVEN RD, SOUTH EUCLID, OH 44121-3163
(216) 533-7414
Mailing address
4150 STONEHAVEN RD, SOUTH EUCLID, OH 44121-3163
(216) 533-7414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
TZ703096
OH
Other
Enumeration date
05/17/2022
Last updated
09/27/2022
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