Individual
JEANETTE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12414 GRUSS AVE, CLEVELAND, OH 44108-1710
(216) 280-7501
Mailing address
12414 GRUSS AVE, CLEVELAND, OH 44108-1710
(216) 280-7501
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
OH
376J00000X
Homemaker
—
OH
Other
Enumeration date
12/11/2025
Last updated
12/15/2025
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