Provider Demographics
NPI:1306562913
Name:SEE, DEQUANNA
Entity type:Individual
Prefix:
First Name:DEQUANNA
Middle Name:
Last Name:SEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:DEQUANNA
Other - Last Name:SEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1550 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3006
Mailing Address - Country:US
Mailing Address - Phone:216-440-5653
Mailing Address - Fax:
Practice Address - Street 1:1550 LONGWOOD DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44124-3006
Practice Address - Country:US
Practice Address - Phone:216-440-5653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide