# ADZUA ANTENOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639588551
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | 534390 | OH | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 05/20/2025