Individual
EMMA K MADDOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
4605 BRUENING DR, CLEVELAND, OH 44134-4639
(740) 434-3738
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09481
OH
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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