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Tanisha Bacon
NPI 1750006680 · on the registry since 2022 · sole proprietor
Practice
- Address
- 10824 Olivet Ave
Cleveland, OH 44108 - Phone
- (216) 688-5977
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 376K00000X
- Sex
- Female
- Record last updated
- 2022-10-11
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