Individual
AFSANEH DAREJEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
29804 LAKE SHORE BLVD, APT.708, WILLOWICK, OH 44095-4611
(440) 585-3322
(440) 585-1962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
57.009994
OH
Other
Enumeration date
06/12/2007
Last updated
02/22/2016
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