DAVANZO TATE

YOUNGSTOWN, OH
NPI1225400021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: OH  5004944)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- DAVANZO TATE
6602 HARVEST RIDGE DR
YOUNGSTOWN, OH 44515-5562
Phone number: 330-974-5415
Mailing Address
-- DAVANZO TATE
6602 HARVEST RIDGE DR
YOUNGSTOWN, OH 44515-5562
Phone number: 330-974-5415
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