Provider Demographics
NPI:1871195768
Name:RANALLO, DEBORAH A
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:RANALLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5041 CORKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-3160
Mailing Address - Country:US
Mailing Address - Phone:216-509-7934
Mailing Address - Fax:
Practice Address - Street 1:5041 CORKWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3160
Practice Address - Country:US
Practice Address - Phone:216-509-7934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver