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Individual

ROSHAWN K SAMPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4127 E 131ST ST STE 200, CLEVELAND, OH 44105-5563
(216) 410-5342
Mailing address
25030 TRYON RD, OAKWOOD VILLAGE, OH 44146-6049
(216) 410-5342

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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