Gary A Waller, LPN
NPI #1235518572 in Mayfield Hts, Ohio
Provider Information
- NPI Number
- 1235518572
- Entity Type
- Individual
- Name
- Gary A Waller, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 20, 2015
- Last Updated
- May 20, 2015
Practice Location
- Address
- 6503 MARSOL RD
- Address 2
- APT 347
- City
- Mayfield Hts
- State
- Ohio
- ZIP Code
- 44124-3568
- Phone
- (216) 816-6160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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