Individual
CARMALITA R GENDRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38360 TAMARAC BLVD APT 101, WILLOUGHBY, OH 44094-8115
(216) 704-6640
Mailing address
38360 TAMARAC BLVD APT 101, WILLOUGHBY, OH 44094-8115
(216) 704-6640
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RU778241
OH
Other
Enumeration date
10/06/2021
Last updated
04/29/2025
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