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Individual

NATOYA CODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12912 KADEL, CLEVELAND, OH 44135-4413
(440) 749-0908
Mailing address
12912 KADEL AVE, CLEVELAND, OH 44135-4744
(440) 749-0908

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1831630
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831630
OH
Enumeration date
11/12/2020
Last updated
11/12/2020
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