EDONTRE MALIK DAUGHERTY

ASHTABULA, OH
NPI1205421872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2021-03-05
Last Update Date2021-03-05
Business Address
EDONTRE MALIK DAUGHERTY
5722 KETCHAM AVE
ASHTABULA, OH 44004-9779
Phone number: 440-813-9675
Mailing Address
EDONTRE MALIK DAUGHERTY
5722 KETCHAM AVE
ASHTABULA, OH 44004-9779
Phone number: 440-813-9675
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