Individual
MARIO ANTHONY PISANO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9367 IVAN PL, MENTOR, OH 44060-1790
(814) 460-8471
Mailing address
9367 IVAN PL, MENTOR, OH 44060-1790
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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