Individual
AMANDA FAVAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10871 WASHINGTON ST, CHAGRIN FALLS, OH 44023-5559
(440) 487-3062
Mailing address
10871 WASHINGTON ST, CHAGRIN FALLS, OH 44023-5559
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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