Individual
KATHY A. ETTANDIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 BIRCH HILL DR APT B13, MEDINA, OH 44256-1451
(424) 303-2579
(424) 303-2579
Mailing address
520 BIRCH HILL DR APT B13, MEDINA, OH 44256-1451
(330) 631-1534
(330) 631-1534
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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