Individual
DENISE SUNDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 S PARK LN, MEDINA, OH 44256-8291
(330) 591-5575
Mailing address
3190 S PARK LN, MEDINA, OH 44256-8291
(330) 591-5575
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RP913657
OH
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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