Latasha Jenee Stallworth
NPI #1922755164 in Garfield Heights, Ohio
Provider Information
- NPI Number
- 1922755164
- Entity Type
- Individual
- Name
- Latasha Jenee Stallworth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Enumeration Date
- Mar 8, 2022
- Last Updated
- Mar 8, 2022
Practice Location
- Address
- 4992 DONOVAN DR
- City
- Garfield Heights
- State
- Ohio
- ZIP Code
- 44125-2025
- Phone
- (216) 924-8012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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