Sandra L Waller

NPI #1699301465 in Euclid, Ohio

Provider Information

NPI Number: 1699301465
Entity Type: Individual
Name: Sandra L Waller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 12, 2020
Last Updated: Mar 12, 2020

Practice Location

Address: 656 BIRCH AVE
City: Euclid
State: Ohio
ZIP Code: 44132-2106
Phone: (440) 954-0861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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