LUZ DANELLY GOTHAM

YOUNGSTOWN, OH
NPI1922247998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  80909)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OH  RN291902)
Enumeration Date2009-02-13
Last Update Date2019-06-06
Business Address
LUZ DANELLY GOTHAM CRNA
8401 MARKET ST
YOUNGSTOWN, OH 44512-6725
Phone number: 330-729-2929
Mailing Address
LUZ DANELLY GOTHAM CRNA
4135 BOARDMAN CANFIELD RD STE 101
CANFIELD, OH 44406-9803
Phone number: 330-286-5330