Individual
DANA DRDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
Mailing address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
C.2304984
OH
Other
Enumeration date
12/06/2019
Last updated
06/27/2023
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