Provider Demographics
NPI:1518726439
Name:WHITNER, TOMARIAH
Entity Type:Individual
Prefix:
First Name:TOMARIAH
Middle Name:
Last Name:WHITNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11992 OAK PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3770
Mailing Address - Country:US
Mailing Address - Phone:216-650-3669
Mailing Address - Fax:
Practice Address - Street 1:11992 OAK PARK BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3770
Practice Address - Country:US
Practice Address - Phone:216-650-3669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker