Individual
FRED HATCHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23615 VERA ST, CLEVELAND, OH 44128-5265
(216) 673-9450
Mailing address
23615 VERA ST, CLEVELAND, OH 44128-5265
(216) 673-9450
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN155589MIV
OH
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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