Individual
ALONDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4043 WOODSTOCK DR, LORAIN, OH 44053-1568
(440) 242-0334
Mailing address
4043 WOODSTOCK DR, LORAIN, OH 44053-1568
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 141314-M-IV
OH
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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