Individual
CLIFFORD CHILES CRADDOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 E WADSWORTH ST, EATON, OH 45320-2357
(513) 804-8148
Mailing address
411 E WADSWORTH ST, EATON, OH 45320-2357
(513) 804-8148
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
4118
OH
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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