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NPI 1497461172 · on the registry since 2023 · sole proprietor

Practice

Address
124 Hodge Ct
Elyria, OH 44035
Phone
(216) 272-3894

Registry record

Primary taxonomy
172A00000X
172A00000X
Sex
Female
Record last updated
2023-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio