Individual
NICOLE LEE SUDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
6602 COVINGTON CV, CANFIELD, OH 44406-8161
(234) 232-4417
Mailing address
637 AETNA ST, SALEM, OH 44460-3752
(234) 232-4417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1501267
OH
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
05/16/2022
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