Individual
CLETUS TAJOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4115 CENTER RD APT 302, BRUNSWICK, OH 44212-2934
(330) 591-7562
Mailing address
4115 CENTER RD APT 302, BRUNSWICK, OH 44212-2934
(330) 591-7562
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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