Individual
DYTANYA ALLGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 GATES AVE, ELYRIA, OH 44035-7023
(440) 420-7287
Mailing address
212 GATES AVE, ELYRIA, OH 44035
(440) 420-7287
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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