Individual
MATTHEW ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 901-9766
Mailing address
29428 VINEWOOD DR, WICKLIFFE, OH 44092-2240
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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