Individual
ROMELLO LAQUAN DAVON NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6408 CARL AVE, 2, CLEVELAND, OH 44103
(216) 820-0825
Mailing address
6408 CARL AVE, 3, CLEVELAND, OH 44103
(216) 820-0825
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
VM557804
OH
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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