Individual
MS. MYRDEOMAR SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 E 32ND ST, LORAIN, OH 44055-1926
(440) 222-6135
Mailing address
1905 E 32ND ST, LORAIN, OH 44055-1926
(440) 222-6135
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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