Individual
NICKLAS E LINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7716 ELYRIA RD, MEDINA, OH 44256-9480
(330) 591-5809
Mailing address
7716 ELYRIA RD, MEDINA, OH 44256-9480
(330) 591-5809
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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