Individual
MR. DALE A CASAMATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
16 HIGH POINT LN, WILLOUGHBY, OH 44094-6973
(440) 942-3128
Mailing address
16 HIGH POINT LN, WILLOUGHBY, OH 44094-6973
(440) 942-3128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN283139
OH
Other
Enumeration date
09/12/2009
Last updated
09/12/2009
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