Individual
PENINA GROSS-RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-7024
(216) 295-7941
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1144847005
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2020
Last updated
12/27/2022
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