JONTAE HENDERSON

Nurse's Aide

Active Individual
NPI: 1386342632

Practice Address

1115 E 177TH ST UNIT 1
Cleveland, OH 44119

Phone: (216) 450-7939

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes 401790980915 (OH)

Frequently Asked Questions

NPI 1386342632 is the National Provider Identifier for JONTAE HENDERSON, a Nurse's Aide provider located in Cleveland, OH. This NPI was enumerated on February 16, 2023.
JONTAE HENDERSON practices at 1115 E 177TH ST UNIT 1, Cleveland, OH 44119.

Quick Facts

NPI
1386342632
Type
Individual
Enumerated
Feb 16, 2023
Last Updated
Jun 14, 2023

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