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Organization

ADMYRHER EXTENTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TAMELA WATTERS (OWNER)
(216) 952-9083
Entity
Organization

Contact information

Practice address
27970 CHAGRIN BLVD STE W222, WOODMERE, OH 44122-4461
(216) 952-9083
Mailing address
5667 TURNEY RD, CLEVELAND, OH 44125-3972
(216) 952-9083

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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