Individual
KORTO SULONGTEH-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(216) 263-9523
Mailing address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
COA.14717-NP
OH
Other
Enumeration date
08/16/2013
Last updated
01/13/2025
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