Individual
LEASA GAIL FRATOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13732 AQUILLA RD, BURTON, OH 44021-9517
(440) 668-8286
Mailing address
13732 AQUILLA RD, BURTON, OH 44021-9517
(440) 668-8286
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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