SearchOhio376J00000X

Sandra Waller

NPI 1699301465 · on the registry since 2020 · sole proprietor

Practice

Address
656 Birch Ave
Euclid, OH 44132
Phone
(440) 954-0861

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-12

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