Individual
MARTHA EMILY VIDALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6601 FRANKLIN BLVD, CLEVELAND, OH 44102-2913
(216) 634-2355
Mailing address
6601 FRANKLIN BLVD, CLEVELAND, OH 44102-2913
(216) 634-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN200804
OH
163WS0200X
School Registered Nurse
Primary
RN OH200804
OH
Other
Enumeration date
08/13/2013
Last updated
02/28/2014
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