Individual
KORI RAE MARTODAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 475-8282
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020948
OH
Other
Enumeration date
09/27/2013
Last updated
01/02/2024
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