Individual
ALEXIS MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 HAYES AVE, SANDUSKY, OH 44870-3338
(419) 610-3942
Mailing address
915 HAYES AVE, SANDUSKY, OH 44870-3338
(419) 610-3942
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401601211213
OH
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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