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Individual

ADNERIS ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
180 COLLEGE PARK DR, S5, ELYRIA, OH 44035-1565
(440) 653-6345
Mailing address
180 COLLEGE PARK DR, S5, ELYRIA, OH 44035-1565
(440) 653-6345

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN139557
OH

Other

Enumeration date
07/20/2010
Last updated
07/20/2010
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