Individual
MRS. KRISTIN R HOMOKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-4021
(216) 445-3765
Mailing address
427 UNIVERSITY AVE, ELYRIA, OH 44035-7155
(440) 865-4729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT1199
OH
363A00000X
Physician Assistant
Primary
50.003161
OH
Other
Enumeration date
05/04/2007
Last updated
11/19/2010
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