Individual
CLARENDA VENAE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 EAST ST, N LEWISBURG, OH 43060
(614) 309-9921
Mailing address
119 EAST ST, N LEWISBURG, OH 43060
(614) 309-9921
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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