Individual
JUIE MICHELLE VEDAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1556 MARS AVE, LAKEWOOD, OH 44107-3823
(216) 272-5629
Mailing address
1556 MARS AVE, LAKEWOOD, OH 44107-3823
(216) 272-5629
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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