Individual
ANTONINA MUKHODINOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6143 GOLDENROD LN, LORAIN, OH 44053-4371
(216) 379-2469
Mailing address
1053 TERRA LN, AMHERST, OH 44001-1149
(440) 396-0086
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.107416.MEDS
OH
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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