Individual
MR. JONATHON RADDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.N.P.
Contact information
Practice address
4302 ALLEN RD STE 300, STOW, OH 44224-1070
(330) 945-7246
Mailing address
4302 ALLEN RD STE 300, STOW, OH 44224-1070
(330) 945-7246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.16114-NP
OH
Other
Enumeration date
10/06/2014
Last updated
12/07/2014
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