Individual
MS. LISA LA VENIA KUZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 S CLEVELAND AVE, MOGADORE, OH 44260-1403
(330) 628-5305
Mailing address
188 S CLEVELAND AVE, MOGADORE, OH 44260-1403
(330) 628-5305
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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