Individual
MRS. DANIELLE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT004819
OH
363A00000X
Physician Assistant
Primary
50.007063RX
OH
Other
Enumeration date
01/18/2014
Last updated
10/19/2021
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