Provider Demographics
NPI:1265251185
Name:GORE, ALIESHA A
Entity type:Individual
Prefix:
First Name:ALIESHA
Middle Name:A
Last Name:GORE
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 1:51 THAMES AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2025
Mailing Address - Country:US
Mailing Address - Phone:216-553-9332
Mailing Address - Fax:
Practice Address - Street 1:51 THAMES AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2025
Practice Address - Country:US
Practice Address - Phone:216-553-9332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide