Alvin Derrell Wanzo

NPI #1992420764 in Garfield Hts, Ohio

Provider Information

NPI Number: 1992420764
Entity Type: Individual
Name: Alvin Derrell Wanzo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 5, 2022
Last Updated: Oct 5, 2022

Practice Location

Address: 12311 THRAVES AVE
City: Garfield Hts
State: Ohio
ZIP Code: 44125-4307
Phone: (440) 506-1253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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