Individual
JETTON FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4338 E 71ST ST, CLEVELAND, OH 44105-5762
(216) 301-6751
Mailing address
15311 EDGEWOOD AVE, MAPLE HEIGHTS, OH 44137-3903
(216) 301-6751
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
RT637221
OH
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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