Provider First Line Business Practice Location Address:
9127 MILES AVE., MILES-BROADWAY HEALTH CENTER
Provider Second Line Business Practice Location Address:
ATTN: KATHY ROTHENBERG
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-664-2362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2008