Individual
HUMBERTO GONZALES CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 SUNSET VIEW BLVD, TALLMADGE, OH 44278
(330) 784-1932
(330) 784-1932
Mailing address
PO BOX 981, CUYAHOGA FALLS, OH 44223
(330) 784-1932
(330) 784-1932
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RS070964
OH
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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