TALLY GARCIATH SAVALAS SKILLOM

CINCINNATI, OH
NPI1932960143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-01-16
Last Update Date2024-01-17
Business Address
TALLY GARCIATH SAVALAS SKILLOM
2440 MERCURY AVE
CINCINNATI, OH 45231-4154
Phone number: 513-476-3348
Mailing Address
TALLY GARCIATH SAVALAS SKILLOM
2440 MERCURY AVE
CINCINNATI, OH 45231-4154
Phone number: 513-476-3348