Individual
PETRINA LA FAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2049 E 100TH ST A BLDG, CLEVELAND, OH 44195-1402
(855) 850-5494
Mailing address
2049 E 100TH ST A BLDG A81, CLEVELAND, OH 44195-2104
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.151308
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
09/29/2024
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