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Individual

MRS. LEAH MARIE GAETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA, MSN

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1219
(216) 444-2200
Mailing address
33839 WILLOWICK DR, EASTLAKE, OH 44095-2567
(440) 477-5477

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019669
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861993651
OH
Enumeration date
02/27/2018
Last updated
02/14/2020
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