Individual
YOLANDA GANCHORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 587-8350
(216) 587-8646
Mailing address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 587-8350
(216) 587-8646
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35032891G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216104
UNICARE
OH
05
—
0215494
—
OH
01
—
351179
WELLCARE HEALTH PLAN
OH
01
—
4007271
AETNA
OH
01
—
740990
BUCKEYE HEALTH PLAN
OH
Enumeration date
04/19/2006
Last updated
06/23/2010
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