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NPI Code Detail

MEDICARE: LATASHA B WHATLEY

MEDICARE:   LATASHA B WHATLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1134998495
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATASHA B WHATLEY
Provider Business Mailing Address
First Line : 3925 E 120TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4546
Country : US
Telephone Number : 216-313-1550
Fax Number :
Provider Business Practice Location Address
First Line : 3925 E 120TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-4546
Country : US
Telephone Number : 216-313-1550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 12/28/2023

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Directions to “ LATASHA B WHATLEY ” Practice Location

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