Individual
EDDAIRIS MARIE VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
(216) 651-4145
Mailing address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
(216) 651-4145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
351707
OH
363LF0000X
Family Nurse Practitioner
Primary
024607
OH
Other
Enumeration date
06/04/2019
Last updated
06/04/2024
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