NPI 1003632704

Marquetta Miller

Practitioner Peer Specialist Cleveland, OH

Practice location

Address: 17608 Euclid Ave, Cleveland, OH 44112-1216
Phone: (216) 417-6166
Mailing address: 23696 Samuel Dr, Euclid, OH 44143-1653

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence APS.005713 (OH)

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Registry record

NPI: 1003632704
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2024
Record last updated: 26 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.