Individual
COLETTE MIKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7630 SOUTHERN BLVD, BOARDMAN, OH 44512-5633
(330) 729-8233
Mailing address
1133 RED TAIL HAWK CT UNIT 5, BOARDMAN, OH 44512-8007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0033221
OH
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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