SHANTASIA TIERRA LASTER

CLEVELAND, OH
NPI1316588890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
SHANTASIA TIERRA LASTER Independent Provider
3002 E 128TH ST
CLEVELAND, OH 44120-3003
Phone number: 216-280-3300
Mailing Address
SHANTASIA TIERRA LASTER Independent Provider
3002 E 128TH ST
CLEVELAND, OH 44120-3003
Phone number: 216-280-3300
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