Individual
FRED WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21300 LORAIN RD STE 4, FAIRVIEW PARK, OH 44126-2160
(216) 556-4020
Mailing address
21300 LORAIN RD STE 4, FAIRVIEW PARK, OH 44126-2160
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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