Individual
DIANE LYNN KOBETITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7266 MALABAR CT, MENTOR, OH 44060-3485
(440) 525-5028
Mailing address
7266 MALABAR CT, MENTOR, OH 44060-3485
(440) 525-5028
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/22/2020
Last updated
12/14/2020
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