Individual
JUDITH KOMPANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1344 5TH AVE, YOUNGSTOWN, OH 44504-1703
(330) 467-7131
(216) 591-0223
Mailing address
1344 5TH AVE, YOUNGSTOWN, OH 44504-1703
(330) 467-7131
(216) 591-0223
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN412822
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2488400
—
OH
Enumeration date
10/17/2018
Last updated
10/17/2018
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