Individual
WAYNE C FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NDTR
Contact information
Practice address
9023 LYDIA CIR, NORTH RIDGEVILLE, OH 44039-9713
(440) 225-1794
Mailing address
9023 LYDIA CIR, NORTH RIDGEVILLE, OH 44039-9713
(440) 225-1794
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86053017
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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