Isabella Rose Tisevich

NPI #1376204065 in Wadsworth, Ohio

Provider Information

NPI Number: 1376204065
Entity Type: Individual
Name: Isabella Rose Tisevich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 237 MEADOWCREEK DR
City: Wadsworth
State: Ohio
ZIP Code: 44281-8822
Phone: (330) 988-2506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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