ROBERTO DANIEL LARICCHIA SUPPA

CLEVELAND, OH
NPI1174376677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  RES.004728)
Enumeration Date2024-04-08
Last Update Date2024-12-04
Business Address
ROBERTO DANIEL LARICCHIA SUPPA
4071 LEE RD STE 260
CLEVELAND, OH 44128-2173
Phone number: 216-727-0234
Mailing Address
ROBERTO DANIEL LARICCHIA SUPPA
4071 LEE RD STE 260
CLEVELAND, OH 44128-2173
Phone number: 216-727-0234
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