Individual
DAVETTA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 804-5015
Mailing address
24375 GARDEN DR APT 210, EUCLID, OH 44123-2446
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.025981
OH
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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