Individual
RICHARD KYLE JASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14617 BRUNSWICK AVE, MAPLE HEIGHTS, OH 44137-3815
(216) 376-4345
Mailing address
14617 BRUNSWICK AVE, MAPLE HEIGHTS, OH 44137-3815
(216) 376-4345
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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