Most Relevant Information
Provider Data
| NPI Number: | 1003220963 |
| Provider Name: | THOMAS ALFONSO TRAINER |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2014 |
| Last Updated: | 06/18/2014 |
Provider Practice Location
3066 KENT RD
#209B
STOW
OH
442244419
Practice Location Phone/Fax
| Phone: | 3308131042 |
| Fax: |
Provider Mailing Location
3066 KENT RD
209B
STOW
OH
442244419
Provider Mailing Phone/Fax
| Phone: | 3308131042 |
| Fax: |