TANIQUA DESHAE WOOTEN

CLEVELAND, OH
NPI1891139622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2013-04-23
Last Update Date2013-04-23
Business Address
-- TANIQUA DESHAE WOOTEN HHA
9601 MANOR AVE
CLEVELAND, OH 44104-4729
Phone number: 216-688-6949
Mailing Address
-- TANIQUA DESHAE WOOTEN HHA
9601 MANOR AVE
CLEVELAND, OH 44104-4729
Phone number: 216-688-6949