Individual
DR. MARIA ELANA BONVISSUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2049 E 100TH ST, CLEVELAND, OH 44106-2104
(216) 444-2200
Mailing address
2099 CONCORD DR, LAKEWOOD, OH 44107-5325
(216) 299-6857
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.02317
OH
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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