Individual
KIMBERLY RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3298 ELIDA RD, LIMA, OH 45805-1220
(419) 331-6410
Mailing address
3077 LAKESHORE DR, LIMA, OH 45806-1466
(419) 331-6410
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03222966
OH
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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