Individual
MS. GEORGENE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19716 MEADOWLARK LN, 1, CLEVELAND, OH 44128-2747
(216) 357-8758
Mailing address
19716 MEADOWLARK LN, 1, CLEVELAND, OH 44128-2747
(216) 357-8758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.091383
OH
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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