MRS. Rose E Fagan

NPI #1407444698 in Shaker Heights, Ohio

Provider Information

NPI Number: 1407444698
Entity Type: Individual
Name: MRS. Rose E Fagan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 4, 2021
Last Updated: Jan 4, 2021

Practice Location

Address: 2995 TORRINGTON RD
City: Shaker Heights
State: Ohio
ZIP Code: 44122-2557
Phone: (303) 868-2235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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