SearchOhio376K00000X

Idell Robertson

NPI 1225409568 · on the registry since 2015 · sole proprietor

Practice

Address
9805 Stoughton Ave
Cleveland, OH 44104
Phone
(216) 496-0419

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
374U00000X
Sex
Female
Record last updated
2015-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio