KELLY DISTASIO

CLEVELAND, OH
NPI1801639554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110011392)
Enumeration Date2024-06-18
Last Update Date2025-11-22
Business Address
KELLY DISTASIO
10900 EUCLID AVE
CLEVELAND, OH 44106-7506
Phone number: 216-368-0575
Mailing Address
KELLY DISTASIO
10900 EUCLID AVE
CLEVELAND, OH 44106-7506
Phone number:
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