Individual
KYLE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 SIMCOX ST, WADSWORTH, OH 44281-1514
(330) 591-1831
Mailing address
177 SIMCOX ST, WADSWORTH, OH 44281-1514
(330) 591-1831
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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