| NPI | 1740635846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CADE Owner 216-374-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM NMCNP-01942) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |