Individual
JAMES ANTHONY TADDEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.287093
OH
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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