LOGAN DIANE WIRTZ

WADSWORTH, OH
NPI1902652316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies172A00000X Driver
Enumeration Date2024-04-26
Last Update Date2024-04-26
Business Address
LOGAN DIANE WIRTZ
168 FAIRLAWN AVE
WADSWORTH, OH 44281-2252
Phone number: 440-865-1191
Mailing Address
LOGAN DIANE WIRTZ
168 FAIRLAWN AVE
WADSWORTH, OH 44281-2252
Phone number: 440-865-1191