Individual
MARK ALLATZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 FOUNTAIN VIEW ST NE, CANTON, OH 44721-3154
(330) 704-7352
Mailing address
1240 FOUNTAIN VIEW ST NE, CANTON, OH 44721-3154
(330) 704-7352
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
343800000X
Secured Medical Transport (VAN)
—
OH
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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