SearchOhio376J00000X

Tyraya Davenport

NPI 1225631864 · on the registry since 2020 · sole proprietor

Practice

Address
15235 Lake Shore Blvd
Cleveland, OH 44110
Phone
(216) 203-0949

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
172A00000X
253Z00000X
3747P1801X
385HR2060X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio