Individual
CARMEN BOWERS TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4549 EDMOND DR, SOUTH EUCLID, OH 44121-3907
(216) 262-7130
Mailing address
4549 EDMOND DR, SOUTH EUCLID, OH 44121-3907
(216) 262-7130
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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