Individual
JEROME WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1820 BEERSFORD RD, EAST CLEVELAND, OH 44112-3916
(216) 242-8842
Mailing address
1820 BEERSFORD RD, EAST CLEVELAND, OH 44112-3916
(216) 242-8842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
434323
OH
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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