Individual
IEISHA RENE WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E 154TH ST, CLEVELAND, OH 44110-3006
(216) 925-7171
Mailing address
840 E 154TH ST, CLEVELAND, OH 44110-3006
(216) 925-7171
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
OH
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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