Individual
RODNESHA SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4147 GREENVALE RD APT 103A, SOUTH EUCLID, OH 44121-2842
(440) 319-7319
Mailing address
4147 GREENVALE RD APT 103A, SOUTH EUCLID, OH 44121-2842
(440) 319-7319
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103295
—
OH
Enumeration date
05/04/2015
Last updated
05/04/2015
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