IndividualActive
Jetton Freeman
NPI 1679154389 · Meals Provider · Cleveland, OH
Provider details
- NPI number
- 1679154389
- Entity type
- Individual
- Primary specialty
- Meals ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RT637221 (OH)
Specialties & taxonomies
Other Service Providers
Practice location
4338 E 71st St
Cleveland, OH 44105-5762
Phone: (216) 301-6751
Approximate (ZIP-level) locationGet directions
Mailing address
15311 Edgewood Ave
Maple Heights, OH 44137-3903
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2021-04-15
- Certified
- 2021-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.