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Individual

DAISHA JEANIE WANZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12311 THRAVES AVE, GARFIELD HEIGHTS, OH 44125-4307
(216) 688-6305
Mailing address
5126 CATO ST, MAPLE HEIGHTS, OH 44137-1414
(216) 288-5449

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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