Individual
GLENDALYZ SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12050 LAKE AVE, APT.409, LAKEWOOD, OH 44107-1892
(440) 429-2264
Mailing address
12050 LAKE AVE, APT.409, LAKEWOOD, OH 44107-1892
(440) 429-2264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18-505959
OH
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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