GRACE NICHOLE NICATA PORTENTOSO

TOLEDO, OH
NPI1104549831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OH  COND.20222021-SP)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
GRACE NICHOLE NICATA PORTENTOSO
1205 KING RD
TOLEDO, OH 43617-2013
Phone number: 419-867-5666
Mailing Address
GRACE NICHOLE NICATA PORTENTOSO
1205 KING RD
TOLEDO, OH 43617-2013
Phone number: 419-867-5666
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