Individual
GINO DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15400 W HIGH ST # 280, MIDDLEFIELD, OH 44062-9212
(440) 632-5587
(440) 632-0653
Mailing address
15400 W HIGH ST # 280, MIDDLEFIELD, OH 44062-9212
(440) 632-5587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03438965
OH
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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