Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224P00000X | Prosthetist |
NPI | 1255827754 |
---|---|
Provider Name | Ms. Chakhan Ramina Dews |
First Address | South Euclid, OH 44121-3137 |
Second Address | Mayfield Heights, OH 44124-3216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2018 |
Last Update Date | 27/10/2021 |