Individual
MRS. BEVERLY LEWIS WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 W WARREN AVE, YOUNGSTOWN, OH 44507-1353
(330) 402-3452
Mailing address
182 W WARREN AVE, YOUNGSTOWN, OH 44507-1353
(330) 402-3452
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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