Tearra Cliche Dates, ETC

Community Health Worker · Youngstown, OH

Individual Active NPI

NPI number 1104508837

Practice location

869 Moyer Ave
Youngstown, OH 44512-2439
Phone
(330) 787-5855

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NPI record

NPI
1104508837
Entity type
Individual (Type 1)
Enumeration date
August 2, 2023
Last updated
August 3, 2023
Certified
August 3, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X — —

About Tearra Dates

Tearra Cliche Dates, ETC is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 869 Moyer Ave, Youngstown, OH 44512-2439. The NPI number 1104508837 was assigned on August 2, 2023 and the record was last updated on August 3, 2023.

Frequently asked questions

What is the NPI number of Tearra Cliche Dates, ETC?

The NPI number is 1104508837.

What is the phone number of Tearra Dates?

The phone number listed for the practice location is (330) 787-5855.

Where is Tearra Dates located?

869 Moyer Ave, Youngstown, OH 44512-2439.

What is the taxonomy code for Tearra Dates?

The primary taxonomy code is 172V00000X – Community Health Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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