Individual
MS. DOROTHEA ANN KOSTOLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1730 WARRINGTON RD NW, MASSILLON, OH 44646-2867
(330) 837-8190
(330) 837-8619
Mailing address
1730 WARRINGTON RD NW, MASSILLON, OH 44646-2867
(330) 837-8190
(330) 837-8619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RN 241307
OH
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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