Individual
JON TODD WINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
8813 LISBON ST, LOUISVILLE, OH 44641-8422
(330) 488-6225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN269036
OH
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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