ETHAN JOHN SMITH

CLEVELAND, OH
NPI1801435599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  LE-00030982)
Enumeration Date2019-12-30
Last Update Date2021-10-08
Business Address
ETHAN JOHN SMITH
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-798-4658
Mailing Address
ETHAN JOHN SMITH
6789 MAYFIELD HTS
MAYFIELD, OH 44124-1973
Phone number: 440-312-4500