Deszirae Monique White
Home Health Aide in Cleveland, OH. Individual provider (NPI-1).
NPI number1033791108
StatusActive
Last updated in NPPESApr 28, 2021
Details
- NPI
- 1033791108
- Entity type
- Individual (NPI-1)
- Name
- Deszirae Monique White
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2021
- Certification date
- Apr 28, 2021
- Last updated
- Apr 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | OH | Yes |
Practice location
14602 Lake Shore Blvd Apt 2Cleveland, OH 44110-1251
Phone 216-385-3407
Mailing address
11459 Mayfield Rd Ste 117Cleveland, OH 44106-2363
Phone 216-385-3407
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