Individual
JUAN JERONIMO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13377 SMITH RD, MIDDLEBURG HEIGHTS, OH 44130-7810
(440) 340-5558
(440) 340-5575
Mailing address
4315 CLARK AVE, CLEVELAND, OH 44109-1120
(216) 315-2270
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0001927
OH
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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