Individual
KIM PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 CENTER ST, MENTOR, OH 44060-4109
(440) 255-4444
Mailing address
6451 CENTER ST, MENTOR, OH 44060-4109
(440) 255-4444
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN 1551168
OH
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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