Marcellious Woodson SR.

NPI #1215708276 in Shaker Heights, Ohio

Provider Information

NPI Number: 1215708276
Entity Type: Individual
Name: Marcellious Woodson SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jan 9, 2024
Last Updated: Jan 9, 2024

Practice Location

Address: 3657 LUDGATE RD
City: Shaker Heights
State: Ohio
ZIP Code: 44120-5069
Phone: (216) 622-5117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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