Individual
MARYA LEE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5428 MARDALE AVE, BEDFORD HEIGHTS, OH 44146-1530
(330) 319-0716
Mailing address
5428 MARDALE AVE, BEDFORD HEIGHTS, OH 44146-1530
(330) 319-0716
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RS941321
OH
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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