Individual
NATHANIEL T JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12813 EDMONTON AVE, CLEVELAND, OH 44108-2519
(216) 214-3172
Mailing address
12813 EDMONTON AVE, CLEVELAND, OH 44108-2519
(216) 214-3172
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
SL103386
OH
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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