Individual
BERNICE MATEE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
285 S GREEN RD, SOUTH EUCLID, OH 44121-2320
(216) 481-1804
Mailing address
285 S GREEN RD, SOUTH EUCLID, OH 44121-2320
(216) 481-1804
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
081877
OH
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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