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Individual

SELENA A RIORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2600 7TH ST SW, AULTMAN HOSPITAL, CANTON, OH 44710-1709
(330) 363-4910
Mailing address
2600 7TH ST SW, AULTMAN HOSPITAL, CANTON, OH 44710-1709
(330) 363-4910

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA06587
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2623567
OH
Enumeration date
05/09/2006
Last updated
11/27/2012
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