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NPI Code Detail

MEDICARE: MONTIA MARAE WOODBERRY

MEDICARE:   MONTIA MARAE WOODBERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemakerOH

General Provider Information

NPI Number : 1851239222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTIA MARAE WOODBERRY
Provider Business Mailing Address
First Line : 3521 BOYNTON RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1516
Country : US
Telephone Number : 216-356-1683
Fax Number :
Provider Business Practice Location Address
First Line : 3521 BOYNTON RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1516
Country : US
Telephone Number : 216-356-1683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ MONTIA MARAE WOODBERRY ” Practice Location

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