Russell Walter Widdows
Russell Walter Widdows is an Attendant Care Provider in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
14801 Triskett RdCleveland, OH 44111-3193
Phone: (216) 399-3492
Fax: (216) 938-8733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1255902235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2021 |
| Last updated in NPPES | July 9, 2021 |
| Certification date | July 8, 2021 |
| Mailing address | 14801 Triskett Rd, Cleveland, OH 44111-3193 |
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