Individual
MR. RONALD EDWARD SHELTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 CARABEL AVE APT 5, LAKEWOOD, OH 44107-5758
(216) 912-8814
Mailing address
PO BOX 771255, LAKEWOOD, OH 44107-0052
(216) 262-3152
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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