Edontre Malik Daugherty
Edontre Malik Daugherty is a Home Health Aide in Ashtabula, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
5722 Ketcham AveAshtabula, OH 44004-9779
Phone: (440) 813-9675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X (OH) |
|---|
Record details
| NPI number | 1205421872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2021 |
| Last updated in NPPES | March 5, 2021 |
| Certification date | March 5, 2021 |
| Mailing address | 5722 Ketcham Ave, Ashtabula, OH 44004-9779 |
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