Individual
VICTORIA CELESTE RADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8655 MARKET ST STE 200, MENTOR, OH 44060-4112
(440) 255-7938
Mailing address
9180 PLEASANTVALE CT, MENTOR, OH 44060-7334
(440) 897-9221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.007775RX
ELICENSE OHIO PROFESSIONAL LICENSE
OH
Enumeration date
08/18/2022
Last updated
09/20/2022
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