Edontre Malik Daugherty

NPI #1205421872 in Ashtabula, Ohio

Provider Information

NPI Number: 1205421872
Entity Type: Individual
Name: Edontre Malik Daugherty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Mar 5, 2021
Last Updated: Mar 5, 2021

Practice Location

Address: 5722 KETCHAM AVE
City: Ashtabula
State: Ohio
ZIP Code: 44004-9779
Phone: (440) 813-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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