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Individual

GLADYS TORRES RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25775 HURLINGHAM RD, BEACHWOOD, OH 44122-2436
(216) 464-7549
Mailing address
25775 HURLINGHAM RD, BEACHWOOD, OH 44122-2436
(216) 464-7549

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
000022672
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000026472
OH
Enumeration date
02/28/2015
Last updated
02/28/2015
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