Individual
ANTANESHA NATASHA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
19147 RENWOOD AVE, CLEVELAND, OH 44119-1625
(216) 849-4355
Mailing address
19147 RENWOOD AVE, CLEVELAND, OH 44119-1625
(216) 849-4355
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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