Individual
JANE MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 E 232ND ST, EUCLID, OH 44117-2018
(216) 688-7173
(216) 938-7436
Mailing address
1765 E 232ND ST, EUCLID, OH 44117-2018
(216) 688-7173
(216) 938-7436
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SQ609632
OH
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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