Individual
AMY KRISTINE DADISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-0205
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-0205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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