Individual
ISAIAH DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24950 ROCKSIDE RD APT 742, BEDFORD, OH 44146-1928
(216) 860-3122
Mailing address
24950 ROCKSIDE RD APT 742, BEDFORD, OH 44146-1928
(216) 860-3122
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
UM204994
OH
376J00000X
Homemaker
Primary
UM204994
OH
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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