Individual
ANNA FEDORKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
731 EASTWOOD ST, GENEVA, OH 44041-1722
(440) 466-9573
Mailing address
731 EASTWOOD ST, GENEVA, OH 44041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 112686
OH
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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