Individual
MS. JANICE LOUISE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
(216) 696-7269
Mailing address
1730 W 25TH ST, SUITE 122, CLEVELAND, OH 44113-3108
(216) 363-2475
(216) 696-7269
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-000622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-000622
LICENSE NUMBER
OH
Enumeration date
01/28/2008
Last updated
01/28/2008
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