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Individual

JANICE R. EITEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13951 TERRACE RD, EAST CLEVELAND, OH 44112-4308
(216) 761-3300
Mailing address
3589 FARLAND RD, CLEVELAND, OH 44118-3043
(216) 321-1197

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
35065939
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0979973
OH
01
942460636457
CARESOURCE
OH
Enumeration date
06/15/2006
Last updated
06/27/2011
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