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Tamira Bacon

NPI 1790549400 · on the registry since 2024 · sole proprietor

Practice

Address
782 E 249th St
Euclid, OH 44123
Phone
(216) 562-7887

Registry record

Primary taxonomy
342000000X
342000000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-13

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