| NPI | 1295114809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHELLE GIORDON Credetnialing 330-723-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH COA.06636-NP) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |