DAVONTAE LYND TALLEY

WARREN, OH
NPI1902539638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2022-07-09
Last Update Date2023-03-16
Business Address
DAVONTAE LYND TALLEY
813 HOMEWOOD AVE SE
WARREN, OH 44484-4226
Phone number: 330-795-5023
Mailing Address
DAVONTAE LYND TALLEY
813 HOMEWOOD AVE SE
WARREN, OH 44484-4226
Phone number: 330-795-5023