Individual
ANNA FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 E 349TH ST, EASTLAKE, OH 44095-2423
(440) 251-5175
Mailing address
739 E 349TH ST, EASTLAKE, OH 44095-2423
(440) 251-5175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
188663
OH
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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