Individual
DEMETRITHS DARNELL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13607 SAYBROOK AVE, GARFIELD HEIGHTS, OH 44105-7021
(216) 862-0211
Mailing address
13607 SAYBROOK AVE, GARFIELD HEIGHTS, OH 44105-7021
(216) 862-0211
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RS005638
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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