Individual
DANIELLE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7308 SCOTTSDALE CIR, MENTOR, OH 44060-6492
(216) 254-7171
Mailing address
7308 SCOTTSDALE CIR, MENTOR, OH 44060-6492
(216) 254-7171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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