Individual
ELENA BOCOLA-MAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 IVY LN, CANFIELD, OH 44406-9714
(330) 207-6885
Mailing address
PO BOX 483, CANFIELD, OH 44406-0483
(330) 207-6885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.456307
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
148071
OH
Other
Enumeration date
06/30/2021
Last updated
07/23/2024
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