Individual
RUSSELL WALTER WIDDOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14801 TRISKETT RD, CLEVELAND, OH 44111-3193
(216) 399-3492
(216) 938-8733
Mailing address
14801 TRISKETT RD, CLEVELAND, OH 44111-3193
(216) 399-3492
(216) 938-8733
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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