MRS. Mary Theresa Maddox

NPI #1003152455 in Euclid, Ohio

Provider Information

NPI Number
1003152455
Entity Type
Individual
Name
MRS. Mary Theresa Maddox
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 12, 2012
Last Updated
Dec 12, 2012

Practice Location

Address
24740 DEVOE AVE
City
Euclid
State
Ohio
ZIP Code
44123-2238
Phone
(216) 322-1577

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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