Individual
TOMEKA TARRELLE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 PARKDALE RD, CLEVELAND HEIGHTS, OH 44121-1621
(216) 727-5063
Mailing address
600 SUPERIOR AVE E STE 1300, CLEVELAND, OH 44114-2654
(216) 727-5063
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562
—
OH
Enumeration date
05/16/2018
Last updated
06/16/2018
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