Corey Isidro Vandersall
Corey Isidro Vandersall is a Homemaker in Stow, Ohio. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
Stow, OHNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
Record details
| NPI number | 1811790637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2025 |
| Last updated in NPPES | March 28, 2025 |
| Certification date | March 28, 2025 |
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