Individual
FREDDIE LEEDOUGLAS LENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11614 HAZELDELL DR, CLEVELAND, OH 44108-1524
(216) 512-9496
Mailing address
11614 HAZELDELL DR, CLEVELAND, OH 44108-1524
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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