Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | LPO.00376 | OH |
NPI | 1326649427 |
---|---|
Provider Name | Brooke Iames |
First Address | Cleveland, OH 44113-3833 |
Second Address | Cleveland, OH 44113-3833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |