Organization
PROFESSIONAL PICC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT ANDREW SMULIK (CEO)
(330) 637-1940
Entity
Organization
Contact information
Practice address
115 WOODVIEW DR, CORTLAND, OH 44410-1247
(330) 637-9112
Mailing address
115 WOODVIEW DR, CORTLAND, OH 44410-1247
(330) 637-9112
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
09/17/2006
Last updated
08/22/2020
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