Theodore Roger Eddy

NPI #1538804208 in Sheffield Lake, Ohio

Provider Information

NPI Number
1538804208
Entity Type
Individual
Name
Theodore Roger Eddy
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Apr 28, 2022
Last Updated
Apr 28, 2022

Practice Location

Address
774 KENILWORTH AVE
State
Ohio
ZIP Code
44054-1233
Phone
(440) 949-5313

Specialties & Taxonomy Codes

Specialty
Homemaker

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