Individual
DECARLOS DEVANTE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12700 SHAKER BLVD, CLEVELAND, OH 44120-2057
(216) 678-9816
Mailing address
6216 STORER AVE, CLEVELAND, OH 44102-5526
(216) 356-8371
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
01/29/2021
Last updated
07/29/2022
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