Individual
SERETHA ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 EUCLID AVE, CLEVELAND, OH 44106-4310
(216) 721-4010
Mailing address
25039 RUSHMORE CT, RICHMOND HEIGHTS, OH 44143-2545
(216) 256-1889
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
550107010176405
OH
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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