Individual
TERRY LORRAINE PASTOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3622 BELMONT AVE, YOUNGSTOWN, OH 44505-1450
(234) 719-1885
(234) 719-1916
Mailing address
170 FOX RUN, CORTLAND, OH 44410-1174
(330) 638-5173
(330) 638-5173
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN318712
OH
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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